KIDD HEALTHMART DRUG CO (NPI# 1295880185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295880185 |
| Entity Type | Organization |
| Organization Name | KIDD HEALTHMART DRUG CO |
| Other Organization Name | KIDD DRUGS GIFT INC |
| Practice Address |
104 N Main St Fairview OK 73737-1621 |
| Practice Telephone | 5802274685 |
| Practice Fax Number | 5802272351 |
| Mailing Telephone | 5802274685 |
| Mailing Fax Number | 5802272351 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | SUSAN KIDD MARTENS (PRESIDENT) |
| Authorized Official Telephone | 5802274685 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
66-2590 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100237780A | 05 | |
| PK | 2072788 | 01 |
| Other Name | Type Code |
|---|---|
| KIDD DRUGS GIFT INC | Doing Business As Name - Organization |
| Street Address |
104 N MAIN ST |
| City | FAIRVIEW |
| State | OK |
| Zip Code | 73737-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598212664 | Megan Leigh Ewing | Nurse Practitioner | 519 East State Road, Fairview, OK 73737 | 2016-09-07 |
| 1144507492 | Oliver Gary Lackey | Pharmacist | 624 N Main St, Fairview, OK 73737 | 2011-11-14 |
| 1720298524 | Mary Kliewer | Counselor | 1425 N. Main, Suite 1, Fairview, OK 73737 | 2007-05-23 |
| 1861553703 | Dentistry for Today, P.C. | Dentist | 2414a Heritage Trail, Fairview, OK 73737 | 2006-12-13 |
| 1487727699 | State of Oklahoma | Community/Behavioral Health | Northwest Center for Behavioral Health, 1425 N. Main, Suite 1, Fairview, OK 73737 | 2006-11-16 |
| 1174519102 | Fairview Home Health LLC | Home Health | 806 N Main St, Fairview, OK 73737-1004 | 2005-09-26 |
| 1760569073 | Robert A. Marti, D.d.s., A Professional Corporation | Dentist | 917 N Main St, Fairview, OK 73737-1005 | 2006-11-01 |
| 1033579818 | Jana Lyn Hickman | Occupational Therapist | 510 Surrey Ln, Fairview, OK 73737-1006 | 2016-03-07 |
| 1831759679 | Olivers Express Pharmacy LLC | Audiologist-Hearing Aid Fitter | 624 N Main St, Fairview, OK 73737-1216 | 2019-06-14 |
| 1134545999 | Olivers Express Pharmacy LLC | Pharmacy | 624 N Main St, Fairview, OK 73737-1216 | 2014-03-17 |
| Find all providers in zip 73737 | ||||
| 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 |
|---|---|---|---|---|
| 1730680414 | Kjk LLC | Pharmacy | 2340 Fairview Blvd. Suite 300, Fairview, TN 37062 | 2018-02-27 |
| 1174537179 | Sidney Health Center | Pharmacy | 304 South Ellery Ave., Fairview, MT 59221 | 2006-07-28 |
| 1518982172 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2006-07-13 |
| 1639714397 | Tucker Pharmacy, LLC | Pharmacy | 2415 Fairview Blvd, Fairview, TN 37062-9078 | 2019-11-16 |
| 1508144221 | Freds Stores of Tennessee Inc | Pharmacy | 2243 Fairview Blvd, Fairview, TN 37062-9070 | 2011-07-29 |
| 1730293721 | Fairview Pharmacy Inc | Pharmacy | 2243 Fairview Blvd, Fairview, TN 37062-9070 | 2006-08-18 |
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|---|---|---|---|---|
| 1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
| 1245843796 | Creek Nation Hospital & Clinics | Pharmacy | 1000 Riverwalk Ter, Jenks, OK 74037-5666 | 2020-08-25 |
| 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 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| 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.