JANE PHILLIPS MEMORIAL MEDICAL CENTER INC (NPI# 1326443565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326443565 |
| Entity Type | Organization |
| Organization Name | JANE PHILLIPS MEMORIAL MEDICAL CENTER INC |
| Other Organization Name | JANE PHILLIPS MEDCARE AMBULATORY PHARMACY |
| Practice Address |
3500 E Frank Phillips Blvd Bartlesville OK 74006-2411 |
| Practice Telephone | 9183311540 |
| Mailing Telephone | 9183311540 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2016-12-28 |
| Authorized Official Name | MIKE MOORE (COO) |
| Authorized Official Telephone | 9183311550 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
96964 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2148573 | 01 | |
| OK | 100699490 L | 05 | |
| OK | 100699490 B DME | 05 |
| Other Name | Type Code |
|---|---|
| Jane Phillips MedCare Ambulatory Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518092832 | Jane Phillips Memorial Medical Center Inc | Emergency Medicine | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2007-02-23 |
| Street Address |
3500 E FRANK PHILLIPS BLVD |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544858 | Erin S Claiborne | Pharmacist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2005-08-09 |
| 1346887601 | Jennifer Caroline Rademacher | Physical Therapist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2019-12-05 |
| 1730631912 | Kelsey Riebel | Physician Assistant | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2016-11-03 |
| 1750830147 | Brittaney Huddleston | Occupational Therapist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2016-09-26 |
| 1265893044 | Brenda Ann Volz | Registered Nurse | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2016-03-08 |
| 1427428986 | Jane Phillips Memorial Medical Center, Inc. | Medicare Defined Swing Bed Unit | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2015-09-28 |
| 1841695962 | Jerusha Marie Coward | Pharmacist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-10-31 |
| 1760882427 | Ashley Gilliland | Nurse Practitioner | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-09-01 |
| 1720499585 | Merry Margaret Huber | Clinical Nurse Specialist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-05-14 |
| 1508202839 | Stanley Glendal Foster | Nurse Anesthetist, Certified Registered | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2013-05-14 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1386074946 | Nw Bartlesville LLC | Pharmacy | 143 Se Washington Blvd, Bartlesville, OK 74006-2334 | 2013-11-19 |
| 1124065644 | H.a.c., Inc. | Pharmacy | 2501 S.e. Washington, Bartlesville, OK 74006 | 2006-06-01 |
| 1053521849 | H & G Home Medical LLC | Pharmacy | 112 Ne Washington Blvd, Bartlesville, OK 74006-1650 | 2007-05-23 |
| 1326188335 | H&g Home Medical | Pharmacy | 112 Ne Washington Blvd, Bartlesville, OK 74006-1650 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
| 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.