OLE MINERS PHARMACY (NPI# 1295832558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295832558 |
| Entity Type | Organization |
| Organization Name | OLE MINERS PHARMACY |
| Other Organization Name | OLE MINERS PHARMACY |
| Practice Address |
103 S Connell Ave Picher OK 74360-0248 |
| Mailing Address |
103 S Connell Ave Picher OK 74360-1533 |
| Practice Telephone | 9186731552 |
| Practice Fax Number | 9186732050 |
| Mailing Telephone | 9186731552 |
| Mailing Fax Number | 9186732050 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-01-28 |
| Authorized Official Name | MR. GARY D LINDERMAN (OWNER) |
| Authorized Official Telephone | 9186731552 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100245160A | 05 | |
| KS | MEDICAID | 100443320A | 01 |
| Other Name | Type Code |
|---|---|
| OLE MINERS PHARMACY | Doing Business As Name - Organization |
| Street Address |
103 S CONNELL AVE |
| City | PICHER |
| State | OK |
| Zip Code | 74360-0248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568729689 | Richard Marshall Chubb | General Practice | 103 So Connell, Picher, OK 74360 | 2012-04-13 |
| 1578760609 | Missy Ann Beets | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N Ethel, Picher, OK 74360 | 2007-07-02 |
| 1376663203 | Northern Ottawa County Co-op | Public Health or Welfare | 715 West A Street, Picher, OK 74360 | 2007-04-02 |
| 1376583500 | Picher Fire Department Ems | Ambulance | 213 East Carl Patterson Ave, Picher, OK 74360 | 2006-06-07 |
| 1336294099 | City of Picher | Ambulance | 213 Carl Patterson Ave, Picher, OK 74360-1609 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568729689 | Richard Marshall Chubb | General Practice | 103 So Connell, Picher, OK 74360 | 2012-04-13 |
| 1578760609 | Missy Ann Beets | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N Ethel, Picher, OK 74360 | 2007-07-02 |
| 1376663203 | Northern Ottawa County Co-op | Public Health or Welfare | 715 West A Street, Picher, OK 74360 | 2007-04-02 |
| 1336294099 | City of Picher | Ambulance | 213 Carl Patterson Ave, Picher, OK 74360-1609 | 2007-01-24 |
| 1376583500 | Picher Fire Department Ems | Ambulance | 213 East Carl Patterson Ave, Picher, OK 74360 | 2006-06-07 |
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on OLE MINERS PHARMACY.
| 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.