OKLAHOMA CVS PHARMACY, L.L.C. (NPI# 1235541483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235541483 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 10491 |
| Practice Address |
3711 E Frank Phillips Blvd Bartlesville OK 74006-2417 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 9183335217 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | OK | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
OK | Suppliers | |
| Y | 333600000X | Pharmacy | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | DME | 100233690Z | 01 |
| OK | 100233690Y | 05 | |
| OK | NCPDP | 3728144 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10491 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952704769 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6116 S. Lewis Ave, Tulsa, OK 74105 | 2014-10-07 |
| 1861891350 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2107 Nw Cache Rd, Lawton, OK 73505-5213 | 2014-08-20 |
| 1326468042 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11223 E 31st St, Tulsa, OK 74146-1708 | 2014-04-21 |
| 1861819682 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 304 North York St, Muskogee, OK 74403-4658 | 2014-03-19 |
| 1053744250 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 21 S Strong Blvd, Mcalester, OK 74501-4431 | 2013-08-12 |
| 1942632757 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8010 E 51st Street S, Tulsa, OK 74145-7827 | 2013-08-02 |
| 1871935767 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1520 W Elk Ave, Duncan, OK 73533-3763 | 2013-07-22 |
| 1023311578 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6342 E Admiral Pl N, Tulsa, OK 74115-8626 | 2010-12-06 |
| 1588971956 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 12902 E 96th St N, Owasso, OK 74055-4778 | 2010-09-08 |
| 1487974580 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Nw 36th Ave, Norman, OK 73072 | 2010-06-11 |
| Street Address |
3711 E FRANK PHILLIPS BLVD |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167753 | Melissa N Mccoy | Pharmacist | 3711 E Frank Phillips Blvd, Bartlesville, OK 74006-2417 | 2019-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063853778 | Limestone Pharmacy | Pharmacy | 3803 Nowata Rd Ste C, Bartlesville, OK 74006-5121 | 2013-07-10 |
| 1710002803 | Bowles Pharmacy Inc | Pharmacy | 811 Se Frank Phillips Blvd, Bartlesville, OK 74003-4025 | 2007-03-20 |
| 1326443565 | Jane Phillips Memorial Medical Center Inc | Pharmacy | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-10-30 |
| 1942231915 | K Mart Corp | Pharmacy | 501 Se Washington Blvd, Bartlesville, OK 74006-8232 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808625 | Bigbox Pharmacy Unlimited LLC | Pharmacy | 509 E Chestnut St Ste B, Hollis, OK 73550-2031 | 2020-07-08 |
| 1033736657 | Genscripts Glenpool, LLC | Pharmacy | 12100 South Yukon Avenue, Suite A, Glenpool, OK 74033 | 2020-06-30 |
| 1952923104 | Creek Nation Hospital & Clinics | Pharmacy | 31870 1/2 East Hwy 51, Coweta, OK 74429-7900 | 2020-05-11 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1225592496 | Crimson Spire Pharmacy | Pharmacy | 5600 S.e. 67 Str, Suite A, Okc, OK 73135 | 2019-01-22 |
| 1366945842 | Pharmore Specialty Pharmacies LLC | Pharmacy | 3330 Nw 56th St Ste 100, Oklahoma City, OK 73112-4426 | 2018-03-12 |
| 1295241867 | Mannford Pharmacy LLC | Pharmacy | 231 W Trower Blvd, Mannford, OK 74044 | 2017-12-19 |
| 1215448337 | 1st Choice Pharmacy | Pharmacy | 1147a W 15th St, Edmond, OK 73013-3008 | 2017-10-16 |
| 1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
| 1255855854 | Okc Scripts LLC | Pharmacy | 5914 Nw 38th St # 5914, Warr Acres, OK 73122-2008 | 2017-07-26 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
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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.