STEPHENS HEALTH CARE SPECIALISTS PLLC (NPI# 1366765638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366765638 |
| Entity Type | Organization |
| Organization Name | STEPHENS HEALTH CARE SPECIALISTS PLLC |
| Other Organization Name | CHEYENNE PROFESSIONAL DRUG |
| Practice Address |
413 Broadway Cheyenne OK 73628 |
| Mailing Address |
Po Box 860 Cheyenne OK 73628-0860 |
| Practice Telephone | 5804973325 |
| Practice Fax Number | 5804973326 |
| Mailing Telephone | 5804973325 |
| Mailing Fax Number | 5804973326 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | JACLYN STEPHENS (OWNER / PIC) |
| Authorized Official Telephone | 5804973325 |
| 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 |
76-5469 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200263180A | 05 | |
| PK | 2123708 | 01 |
| Other Name | Type Code |
|---|---|
| CHEYENNE PROFESSIONAL DRUG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720011596 | Stephens Health Care Specialists Pllc | Pharmacy | 413 Broadway, Cheyenne, OK 73628 | 2006-07-07 |
| Street Address |
413 BROADWAY |
| City | CHEYENNE |
| State | OK |
| Zip Code | 73628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720011596 | Stephens Health Care Specialists Pllc | Pharmacy | 413 Broadway, Cheyenne, OK 73628 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234902 | Mikal Phillips Edwards | Nurse Practitioner | 101 F K Buster Ave, Cheyenne, OK 73628 | 2018-05-09 |
| 1760583942 | Roger Mills County Hospital Authority | Family Medicine | 501 S Ll Males, Cheyenne, OK 73628 | 2006-09-26 |
| 1720003189 | Lynda Dianne Bentley | Physician Assistant | 101 Fk Buster Ave, Cheyenne, OK 73628 | 2006-07-13 |
| 1477578995 | John M Hubanks | Family Medicine | 101 Fk Buster Ave, Cheyenne, OK 73628 | 2006-07-13 |
| 1962821074 | Sonja Langley | General Practice | 501 S Ll Males Ave, Cheyenne, OK 73628-0000 | 2014-04-16 |
| 1497857437 | Roger Mills County Hospital Authority | General Acute Care Hospital | 501 S Ll Males Ave, Cheyenne, OK 73628-0219 | 2006-09-01 |
| 1073763736 | Roger Mills County Hospital Authority | Ambulance | 501 S Ll Males, Cheyenne, OK 73628-0219 | 2008-09-30 |
| 1598795353 | Steven Eugene Shrader | Dentist | 102 Buster Ave, Cheyenne, OK 73628-0309 | 2006-07-04 |
| 1407950447 | Roger Mills County Hospital Authority | Clinic/Center | 101 Fk Buster Ave, Cheyenne, OK 73628-0490 | 2006-09-11 |
| 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] |
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|---|---|---|---|---|
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| 1720011596 | Stephens Health Care Specialists Pllc | Pharmacy | 413 Broadway, Cheyenne, OK 73628 | 2006-07-07 |
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| 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 |
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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.