INTEGRIS PROHEALTH INC


Address: 3433 Nw 56th St, Ste 140b, Oklahoma City, OK 73112-4455
Phone: 4059454400

INTEGRIS PROHEALTH INC (NPI# 1255497525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255497525
Entity Type Organization
Organization Name INTEGRIS PROHEALTH INC
Other Organization Name INTEGRIS PHARMACY 4190
Practice Address 3433 Nw 56th St
Ste 140b
Oklahoma City
OK 73112-4455
Mailing Address 3435 Nw 56th St Ste 301a
301-a
Oklahoma City
OK 73112-4448
Practice Telephone 4059454400
Practice Fax Number 4059454407
Mailing Telephone 4059493120
Mailing Fax Number 4058156445
Enumeration Date 2006-12-29
Last Update Date 2020-03-30
Authorized Official Name JOEL LANE (DIRECTOR OF PHARMACY)
Authorized Official Telephone 4059493120
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
1-6901 OK Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OK 100239970B 05
PK 2074201 01
OK 100239970A 05

Other Provider/Organization Names

Other Name Type Code
INTEGRIS PHARMACY 4190 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811405202 Integris Prohealth Inc Pharmacy 7301 Sw 44th St # F, Oklahoma City, OK 73179-4308 2018-01-19
1669867396 Integris Prohealth Inc Pharmacy 600 S Monroe St Ste 1a, Enid, OK 73701-7211 2015-03-31
1952796682 Integris Prohealth Inc Pharmacy 1205 Health Center Pkwy Ste 115, Yukon, OK 73099-6396 2015-03-31
1356769509 Integris Prohealth Inc Pharmacy 4401 S Western Ave Ste 1f181, Oklahoma City, OK 73109-3413 2014-04-04
1093133241 Integris Prohealth Inc Pharmacy 3300 Nw Expressway Ste 1d1191, Oklahoma City, OK 73112-4418 2014-04-04
1588992861 Integris Prohealth Inc Pharmacy 5915 W Memorial Rd Ste 110, Oklahoma City, OK 73142-2022 2009-11-25
1275814337 Integris Prohealth Inc Pharmacy 4833 Integris Pkwy, Suite 130, Edmond, OK 73034-8864 2011-09-02
1679614531 Integris Prohealth Inc Pharmacy 4221 S Western Ave, Ste 1020, Oklahoma City, OK 73109-3447 2007-02-12

Office Location

Street Address 3433 NW 56TH ST
STE 140B
City OKLAHOMA CITY
State OK
Zip Code 73112-4455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093719015 George S Chrysant Internal Medicine 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4430 2005-06-08
1003366865 Kelsey Duncan Dietitian, Registered 3433 Nw 56th St, #970, Oklahoma City, OK 73112-4455 2016-10-05
1447616750 Jacob Helt Physician Assistant 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4455 2016-01-04
1780063933 Parker Bon Martin Physician Assistant 3433 Nw 56th St, Ste 670, Oklahoma City, OK 73112-4455 2015-05-20
1356731384 Whitney M Price Physician Assistant 3433 Nw 56th St, Ste 660, Oklahoma City, OK 73112-4455 2015-01-29
1134518764 Jillian Chambers Physician Assistant 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4455 2015-01-20
1770988859 Sheila A Cowart Registered Nurse 3433 Nw 56th St, Ste 660, Oklahoma City, OK 73112-4455 2014-10-30
1093144628 Julie A Groves Clinical Nurse Specialist 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4455 2013-11-04
1699015206 Bruce Dobey Physician Assistant 3433 Nw 56th St, Suite 950, Oklahoma City, OK 73112-4455 2013-02-19
1730426255 Linda Suzanne Pitchford Clinical Nurse Specialist 3433 Nw 56th St, Bldg B Suite C-60, Oklahoma City, OK 73112-4455 2013-01-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972145886 Crystopher J Long Physical Therapist Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 2019-10-11
1700448974 Joy Healthcare Services of Okc LLC Home Health 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 2019-07-08
1801380159 Crysten Cheatwood Do, PC Obstetrics & Gynecology 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 2018-06-20
1306352521 Victoria Ann Kappel Thoracic Surgery (Cardiothoracic Vascular Surgery) 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 2017-12-26
1871014886 Tanesia Michelle Smith Case Management 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 2017-06-29
1619414257 Edwige Gwanyama Student in an Organized Health Care Education/Training Program 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 2017-01-20
1619424017 Jennifer Beaver Peer Specialist 2808 Nw 31st, Oklahoma City, OK 73112 2016-09-02
1417305368 Gabriel Plank Counselor 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 2016-06-01
1912364365 Sams East Inc Durable Medical Equipment & Medical Supplies 4101 N May Ave, Oklahoma City, OK 73112 2016-01-15
1679938922 Portland Anesthesia Associates LLC Nurse Anesthetist, Certified Registered 5501 N Porland Ave, Oklahoma City, OK 73112 2015-12-30
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City OKLAHOMA CITY
Zip Code 73112

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Dataset Information

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.

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