DAMIAN DARTEZ (NPI# 1225540842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225540842 |
| Entity Type | Individual |
| Full Name | DAMIAN DARTEZ |
| Credential | RPH |
| Practice Address |
2323 N Martin Luther King Ave Oklahoma City OK 73111-2405 |
| Practice Telephone | 4054240557 |
| Practice Fax Number | 4054240105 |
| Mailing Telephone | 4054240557 |
| Mailing Fax Number | 4054240105 |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2017-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
16283 | OK | Suppliers |
| Street Address |
2323 N MARTIN LUTHER KING AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73111-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669576492 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2323 N Martin Luther King Ave, Oklahoma City, OK 73111-2405 | 2006-09-12 |
| 1104395920 | Patra Kositchaiwat Gilbert | Pharmacist | 2323 N Martin Luther King Ave, Oklahoma City, OK 73111-2496 | 2018-11-21 |
| 1598279408 | Ifunanya Okoli | Pharmacist | 2323 N Martin Luther King Ave, Oklahoma City, OK 73111-2405 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114779 | Brandi N Ridley | Counselor | 3621 N. Kelley Ave Ste. 100, Oklahoma City, OK 73111 | 2017-03-08 |
| 1790134708 | Raymond Arthur Smith Jr. | Counselor | 2329 Nw 111th, Oklahoma, OK 73111 | 2016-06-09 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1528438710 | Brendel Lacey | Case Manager/Care Coordinator | 3017 N Martin Luther King Avenue, Oklahoma City, OK 73111 | 2015-09-30 |
| 1194108746 | Mary Margaret Mcmiller | Social Worker | 2700 Ne 63rd St, Oklahoma City, OK 73111 | 2015-07-01 |
| 1386037349 | Michelle Patrick | Counselor | 2525 Nw Expressway Suite 531, Building Up People Behavioral Health Service, Oklahoma, OK 73111 | 2015-03-13 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1033458070 | Mary Boyles | Case Manager/Care Coordinator | 1732 N Kelly, Oklahoma, OK 73111 | 2013-02-12 |
| 1427312164 | Sharonda Lavon Bowie | Counselor | 1328 Ne 53rd St, Oklahoma City, OK 73111 | 2012-06-27 |
| 1598029373 | Michael Brown | Counselor | 4413 Rock Island Circle, Oklahoma City, OK 73111 | 2012-06-27 |
| Find all providers in zip 73111 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1588122790 | Costco Wholesale Corporation | Pharmacy | 13200 N Western Ave, Oklahoma City, OK 73114-1434 | 2019-03-06 |
| 1588169692 | Okcity Rx, LLC | Pharmacy | 3300 Nw 56th St Ste 101, Oklahoma City, OK 73112-4530 | 2018-03-29 |
| 1154833796 | Life Pharmacy II | Pharmacy | 1015 N Shartel Ave Ste B, Oklahoma City, OK 73102-1032 | 2017-11-03 |
| 1104252600 | Premier Drug, LLC | Pharmacy | 804 West I-240 Service Road, Suite F, Oklahoma City, OK 73139 | 2013-09-17 |
| 1679905384 | Healthscripts of America - Oklahoma City, LLC | Pharmacy | 804 W I 240 Service Rd Ste F, Oklahoma City, OK 73139-4503 | 2013-08-05 |
| 1740426915 | Home Care Medical, LLC | Pharmacy | 220 Nw 10th St, Oklahoma City, OK 73103-3902 | 2008-12-18 |
| 1467661413 | Jim Rx PC | Pharmacy | 2300 Exchange Ave, Oklahoma City, OK 73108-2436 | 2007-05-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73111 |
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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.