PHP MANAGEMENT GROUP, LLC (NPI# 1477102580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477102580 |
| Entity Type | Organization |
| Organization Name | PHP MANAGEMENT GROUP, LLC |
| Practice Address |
1110 Magnolia Court Moore OK 73160 |
| Mailing Address |
1820 Commons Cir Ste B Yukon OK 73099-9518 |
| Practice Telephone | 4058773128 |
| Mailing Telephone | 4052652778 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | SHARON HODNETT (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 4056078855 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIMARY HEALTH PARTNERS - MOORE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Primary Health Parnters | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285105676 | Php Management Group, LLC | Clinic/Center | 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 | 2018-12-10 |
| Street Address |
1110 MAGNOLIA COURT |
| City | MOORE |
| State | OK |
| Zip Code | 73160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| 1962882373 | Brian Michael Wilson | Dentist | 2709 S. I-35 Frontage Road Suite B, Moore, OK 73160 | 2015-06-02 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| 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 |
|---|---|---|---|---|
| 1245887231 | Doctor Strains LLC | Non-Pharmacy Dispensing Site | 39015 Barnhart Dr, Howe, OK 74940-3688 | 2019-08-23 |
| 1376858373 | Jude & Jody Furniture Inc. | Non-Pharmacy Dispensing Site | 509 Sw 29th St, Oklahoma City, OK 73109-6746 | 2010-08-13 |
| 1013222363 | Occupational Health Centers of The Southwest | Non-Pharmacy Dispensing Site | 7301 Sw 44th St, Oklahoma City, OK 73179-4309 | 2010-08-11 |
| 1285653337 | Deer Creek Pharmacy Services Inc | Non-Pharmacy Dispensing Site | 509 Arapaho St, Hydro, OK 73048 | 2006-07-19 |
| 1528617834 | Vaporherbs,llc | Non-Pharmacy Dispensing Site | 921 S Main St, Sapulpa, OK 74066-5401 | 2019-09-09 |
| 1831485267 | Robert Reynolds, M.d., P.C. | Non-Pharmacy Dispensing Site | 13301 N Meridian Ave, Suite 501, Oklahoma City, OK 73120-9369 | 2011-06-23 |
| 1114244985 | Adult Gastroenterology Associates, Inc | Non-Pharmacy Dispensing Site | 2000 S Wheeling Ave, Suite 700, Tulsa, OK 74104-5649 | 2010-05-03 |
| 1538299268 | Sequoyah City County Trust Authority | Non-Pharmacy Dispensing Site | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2007-03-06 |
| 1982767950 | Oklahoma Medical Services & Supply Inc | Non-Pharmacy Dispensing Site | 7614 E 91st St, Ste 180, Tulsa, OK 74133-6047 | 2006-12-19 |
| 1437172434 | Oklahoma Oncology Inc | Non-Pharmacy Dispensing Site | 1705 E 19th St, Ste 201, Tulsa, OK 74104-5405 | 2006-07-25 |
| 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.