HAISTEN ENTERPRISES PC (NPI# 1225238447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225238447 |
| Entity Type | Organization |
| Organization Name | HAISTEN ENTERPRISES PC |
| Other Organization Name | POCOLA PHARMACY |
| Practice Address |
102 E Folsom Blvd Pocola OK 74902-3150 |
| Practice Telephone | 9184362900 |
| Practice Fax Number | 9184367070 |
| Mailing Telephone | 9184362900 |
| Mailing Fax Number | 9184367070 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | CLAY T HAISTEN (OWNER) |
| Authorized Official Telephone | 9184362900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
194449 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100244270A | 05 |
| Other Name | Type Code |
|---|---|
| Pocola Pharmacy | Other Name - Individual/Organization |
| Street Address |
102 E FOLSOM BLVD |
| City | POCOLA |
| State | OK |
| Zip Code | 74902-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477009611 | Ashlyn Beasley | Case Manager/Care Coordinator | 504 Morris St, Pocola, OK 74902 | 2016-08-28 |
| 1881721637 | Pocola Nursing Center LLC | Skilled Nursing Facility | 200 Home Street, Pocola, OK 74902 | 2007-02-28 |
| 1780776237 | Pocola Public Schools | Public Health or Welfare | 603 E Pryor Ave, Pocola, OK 74902-1901 | 2006-09-29 |
| 1467094524 | Tahlina Weir | Counselor | 205 Cottonwood, Pocola, OK 74902-2340 | 2019-10-10 |
| 1053787283 | Amanda Combs | Nurse Practitioner | 202 Beam Ln, Pocola, OK 74902-2463 | 2015-08-11 |
| 1841458262 | John Thomas Coulbourn | Counselor | 1405 Blair St, Pocola, OK 74902-2860 | 2008-06-02 |
| 1487275699 | Stateline Medical Lab LLC | Clinical Medical Laboratory | 105 N Pocola Blvd Ste 2, Pocola, OK 74902-3101 | 2020-04-28 |
| 1114421260 | Stateline Medical LLC | Clinical Medical Laboratory | 105 N Pocola Blvd, Suite 2, Pocola, OK 74902-3101 | 2018-03-22 |
| 1023362779 | Kal Home Health Inc | Home Health | 302 N Pocola Blvd, Pocola, OK 74902-3102 | 2012-11-02 |
| 1174785091 | Shane Thomas Walker | Chiropractor | 1406 N Pocola Blvd, Pocola, OK 74902-3139 | 2008-07-01 |
| Find all providers in zip 74902 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
| 1245843796 | Creek Nation Hospital & Clinics | Pharmacy | 1000 Riverwalk Ter, Jenks, OK 74037-5666 | 2020-08-25 |
| 1104451095 | Oklahoma Specialty Pharmacy,llc | Pharmacy | 13921 N Meridian Ave Ste 102, Oklahoma City, OK 73134-1103 | 2020-03-11 |
| 1437797248 | Oxford Pharmacy LLC | Pharmacy | 6001 S Sooner Rd Ste B, Oklahoma City, OK 73135-5601 | 2019-12-12 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.