GLN OF MCALESTER, INC (NPI# 1477631513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477631513 |
| Entity Type | Organization |
| Organization Name | GLN OF MCALESTER, INC |
| Other Organization Name | COUNTRY MART PHARMACY |
| Practice Address |
601 E Wyandotte Ave Mcalester OK 74501-5425 |
| Practice Telephone | 9184232980 |
| Practice Fax Number | 9184234736 |
| Mailing Telephone | 9184232980 |
| Mailing Fax Number | 9184234736 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-06-14 |
| Authorized Official Name | KATIE LEIGH STINCHCOMB (PHARMACY MANAGER) |
| Authorized Official Telephone | 9184232980 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 10833 | OK | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 13390 | OK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100243460A | 05 |
| Other Name | Type Code |
|---|---|
| Country Mart Pharmacy | Doing Business As Name - Organization |
| Street Address |
601 E WYANDOTTE AVE |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204194 | Kerri Lee Jones | Pharmacist | 601 E Wyandotte Ave, Mcalester, OK 74501-5425 | 2020-10-27 |
| 1467972539 | Pruett's Food, Inc. | Pharmacy | 601 E Wyandotte Ave, Mcalester, OK 74501-5425 | 2017-06-21 |
| 1144626409 | James Dixon | Pharmacist | 601 E Wyandotte Ave, Mcalester, OK 74501-5425 | 2014-11-14 |
| 1225172596 | Robert M. Chapman | Pharmacist | 601 E Wyandotte Ave, Mcalester, OK 74501-5425 | 2007-02-19 |
| 1689729410 | Katie Leigh Stinchcomb | Pharmacist | 601 E Wyandotte Ave, Mcalester, OK 74501-5425 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043614480 | Robert Savely | Pharmacist | 2017 Ten Spgs, Mcalester, OK 74501-7098 | 2014-10-14 |
| 1467737957 | Brad Allen Bishop | Pharmacist | 1000 Carl Albert Pkwy, Mcalester, OK 74501 | 2011-10-15 |
| 1366726564 | Jeff Johns | Pharmacist | 1000 E Carl Albert, Mcalester, OK 74501 | 2011-10-06 |
| 1174750848 | Stephanie Dawn Skiles | Pharmacist | 1001 E Wyandotte, Drug Warehouse #6, Mcalester, OK 74501 | 2009-06-19 |
| 1023112364 | Terri Denise Elliott | Pharmacist | 903 East Monroe, Mcalester, OK 74501 | 2006-09-08 |
| 1760584841 | Donald R Ratliff | Pharmacist | 903 E Monroe Ave, Mcalester, OK 74501-4839 | 2006-09-01 |
| 1982204194 | Kerri Lee Jones | Pharmacist | 601 E Wyandotte Ave, Mcalester, OK 74501-5425 | 2020-10-27 |
| 1225638653 | Cheryl R Kelley | Pharmacist | 432 S George Nigh Expy, Mcalester, OK 74501-6025 | 2020-10-26 |
| 1154824902 | Larry Don Auld | Pharmacist | 1000 E Carl Albert Pkwy, Mcalester, OK 74501-5121 | 2018-03-16 |
| 1386159986 | Nullacia Willayi | Pharmacist | 21 S Strong Blvd, Mcalester, OK 74501-4431 | 2017-12-05 |
| Find all providers in MCALESTER | ||||
Please comment or provide details below to improve the information on GLN OF MCALESTER, 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.