INTEGRIS PROHEALTH INC (NPI# 1356769509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356769509 |
| Entity Type | Organization |
| Organization Name | INTEGRIS PROHEALTH INC |
| Other Organization Name | INTEGRIS PHARMACY 4177 |
| Practice Address |
4401 S Western Ave Ste 1f181 Oklahoma City OK 73109-3413 |
| Mailing Address |
3435 Nw 56th St Suite 301a Oklahoma City OK 73112-4448 |
| Practice Telephone | 4052310400 |
| Practice Fax Number | 4058156445 |
| Mailing Telephone | 4059493120 |
| Mailing Fax Number | 4058156445 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | BRENT DAVIS (VICE PRESIDENT) |
| Authorized Official Telephone | 4059493774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1-6897 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100710550D | 05 | |
| PK | 2145444 | 01 |
| Other Name | Type Code |
|---|---|
| INTEGRIS Pharmacy 4177 | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1255497525 | Integris Prohealth Inc | Pharmacy | 3433 Nw 56th St, Ste 140b, Oklahoma City, OK 73112-4455 | 2006-12-29 |
| Street Address |
4401 S WESTERN AVE STE 1F181 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
Please comment or provide details below to improve the information on INTEGRIS PROHEALTH INC.
| 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.