DEER CREEK PHARMACY SERVICES INC (NPI# 1285653337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285653337 |
| Entity Type | Organization |
| Organization Name | DEER CREEK PHARMACY SERVICES INC |
| Practice Address |
509 Arapaho St Hydro OK 73048 |
| Mailing Address |
Po Box 130 Hydro OK 73048 |
| Practice Telephone | 4056634111 |
| Practice Fax Number | 4056634114 |
| Mailing Telephone | 4056634111 |
| Mailing Fax Number | 4056634114 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BARNEY KENT ABBOTT (CEO PRES) |
| Authorized Official Telephone | 4056634111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
509 ARAPAHO ST |
| City | HYDRO |
| State | OK |
| Zip Code | 73048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528492303 | Pharmcareok of Hydro, Inc. | Pharmacy | 510 S Arapaho Avenue, Hydro, OK 73048 | 2013-08-28 |
| 1366758351 | Faith Christian Fellowship | Case Management | 21113 County St 2520, Hydro, OK 73048 | 2010-08-27 |
| 1215135132 | Johna K. Roof, P. C. | Pharmacy | 125 W. Main St., Hydro, OK 73048 | 2007-07-03 |
| 1508070210 | Amber Dawnell Mccormick | Occupational Therapy Assistant | 800 N. Arapaho, Hydro, OK 73048 | 2007-05-10 |
| 1457380164 | Pharmcareok of Hydro Inc | Pharmacy | 510 Arapaho St, Hydro, OK 73048 | 2006-07-03 |
| 1568679058 | Dara Dawn Boatman | Speech-Language Pathologist | 800 N. Arapaho, Hydro, OK 73048 | 2007-05-16 |
| 1356556955 | Russell Allen Fanning | Physical Therapy Assistant | 800 N. Arapaho, Hydro, OK 73048 | 2007-05-14 |
| 1841384062 | Western Health Management, Inc. | Skilled Nursing Facility | 800 Arapaho Ave., Hydro, OK 73048-0070 | 2006-10-03 |
| 1013007012 | Kandy Price | Speech-Language Pathologist | 407 E 7th St, Hydro, OK 73048-8409 | 2006-10-13 |
| 1700880127 | Brenda R. Stutzman | Family Medicine | 579 N Broadway Ave, Hydro, OK 73048-8425 | 2005-06-13 |
| Find all providers in zip 73048 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| 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 |
|---|---|---|---|---|
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1245887231 | Doctor Strains LLC | Non-Pharmacy Dispensing Site | 39015 Barnhart Dr, Howe, OK 74940-3688 | 2019-08-23 |
| 1376858373 | Jude & Jody Furniture Inc. | Non-Pharmacy Dispensing Site | 509 Sw 29th St, Oklahoma City, OK 73109-6746 | 2010-08-13 |
| 1013222363 | Occupational Health Centers of The Southwest | Non-Pharmacy Dispensing Site | 7301 Sw 44th St, Oklahoma City, OK 73179-4309 | 2010-08-11 |
| 1528617834 | Vaporherbs,llc | Non-Pharmacy Dispensing Site | 921 S Main St, Sapulpa, OK 74066-5401 | 2019-09-09 |
| 1831485267 | Robert Reynolds, M.d., P.C. | Non-Pharmacy Dispensing Site | 13301 N Meridian Ave, Suite 501, Oklahoma City, OK 73120-9369 | 2011-06-23 |
| 1114244985 | Adult Gastroenterology Associates, Inc | Non-Pharmacy Dispensing Site | 2000 S Wheeling Ave, Suite 700, Tulsa, OK 74104-5649 | 2010-05-03 |
| 1538299268 | Sequoyah City County Trust Authority | Non-Pharmacy Dispensing Site | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2007-03-06 |
| 1982767950 | Oklahoma Medical Services & Supply Inc | Non-Pharmacy Dispensing Site | 7614 E 91st St, Ste 180, Tulsa, OK 74133-6047 | 2006-12-19 |
| 1437172434 | Oklahoma Oncology Inc | Non-Pharmacy Dispensing Site | 1705 E 19th St, Ste 201, Tulsa, OK 74104-5405 | 2006-07-25 |
| 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.