EL RENO IHS PHARMACY (NPI# 1538219431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538219431 |
| Entity Type | Organization |
| Organization Name | EL RENO IHS PHARMACY |
| Other Organization Name | CLINTON IHS PHARMACY |
| Practice Address |
1801 Parkview Drive El Reno OK 73632 |
| Mailing Address |
1801 Parkview Drive El Reno OK 73036 |
| Practice Telephone | 4052348244 |
| Practice Fax Number | 4052348409 |
| Mailing Telephone | 4052348422 |
| Mailing Fax Number | 4052348409 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | BRETT JOSEPH WHITEHEAD (CHIEF OF PHARMACY) |
| Authorized Official Telephone | 4052348422 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 281620 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3721354 | 01 | |
| OK | 100231960A | 05 |
| Other Name | Type Code |
|---|---|
| CLINTON IHS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538219381 | El Reno Ihs Pharmacy | Pharmacy | 1801 Parkview Dr, El Reno, OK 73036-2103 | 2007-01-12 |
| Street Address |
1801 PARKVIEW DRIVE |
| City | EL RENO |
| State | OK |
| Zip Code | 73632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538544986 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 1109 N. Glenn English, Cordell, OK 73632 | 2015-07-28 |
| 1659436681 | Kevin O Halloran | Dentist | 1211 N Glenn English, Cordell, OK 73632 | 2006-12-27 |
| 1093725988 | Fred E Norton | Dentist | 121 S Market St, Cordell, OK 73632 | 2006-08-09 |
| 1265451686 | Comanche County Healthcare | Family Medicine | 1200 N Glenn English, Cordell, OK 73632 | 2006-07-18 |
| 1306459839 | Dandi Deleah Sipes | Case Manager/Care Coordinator | 400 E 14th Apt 124, Cordell, OK 73632-1426 | 2020-08-25 |
| 1326059676 | Cordell Christian Home Incorporated | Skilled Nursing Facility | 1400 N College St, Cordell, OK 73632-1822 | 2006-08-11 |
| 1679019871 | Kimberly Bartlett | Occupational Therapy Assistant | 1400 N College St, Cordell, OK 73632-1822 | 2017-01-11 |
| 1134532344 | Cordell Memorial Hospital 0189 | Clinic/Center | 1109 N Glenn L English St, Cordell, OK 73632-2007 | 2014-06-05 |
| 1295079556 | Darrell Ray Hill | Nurse Practitioner | 1109 N Glenn English St, Cordell, OK 73632-2007 | 2012-11-26 |
| 1205847159 | Michael D Stowers | Pharmacist | 1213 N Glenn L English St, Cordell, OK 73632-2009 | 2006-08-10 |
| Find all providers in zip 73632 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639472970 | Carnegie Indian Health Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 212 E. 4th St, Carnegie, OK 73015 | 2010-12-08 |
| 1568512374 | Wewoka Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Intersection of Hwy 56 and 270, Wewoka, OK 74884 | 2007-01-12 |
| 1316097389 | Anadarko Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 115 Ne Old Town Rd, Anadarko, OK 73005-5009 | 2007-01-11 |
| 1871663203 | Sac & Fox Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2006-11-09 |
| 1699790543 | Li-si-wi-nwi Health, Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 15951 Little Axe Drive, Norman, OK 73026-9001 | 2006-07-13 |
| 1952303190 | Pawhuska Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2005-06-01 |
| 1568839470 | Osage Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2015-08-26 |
| 1295142115 | Choctaw Nation of Oklahoma | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1801 Chukka Hina, Durant, OK 74701 | 2014-07-14 |
| 1598053993 | Citizen Potawatomi Nation West Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2011-07-19 |
| 1891999157 | White Eagle Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 200 White Eagle Drive, Ponca City, OK 74601 | 2007-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EL RENO IHS PHARMACY.
| 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.