BROADWAY CORNER DRUG (NPI# 1578656732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578656732 |
| Entity Type | Organization |
| Organization Name | BROADWAY CORNER DRUG |
| Other Organization Name | BROADWAY CORNER DRUG |
| Practice Address |
101 E Shawntel Smith Blvd Muldrow OK 74948 |
| Mailing Address |
Po Box 1469 Muldrow OK 74948-1469 |
| Practice Telephone | 9184271985 |
| Practice Fax Number | 9184271157 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | RHONDA MCCOMBS (CO OWNER DR OF PHY) |
| Authorized Official Telephone | 9184271985 |
| 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 |
34-3763 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2074693 | 01 | |
| OK | 100242810A | 05 |
| Other Name | Type Code |
|---|---|
| BROADWAY CORNER DRUG | Doing Business As Name - Organization |
| Street Address |
101 E SHAWNTEL SMITH BLVD |
| City | MULDROW |
| State | OK |
| Zip Code | 74948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033192646 | Rhonda Mccombs | Pharmacist | 101 E Shawntel Smith Blvd, Muldrow, OK 74948-4416 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902285877 | Renegade Counseling, Pllc | Community/Behavioral Health | 809-b South Birch Street, Muldrow, OK 74948 | 2015-05-26 |
| 1154676633 | Nikki Earnhart | Speech-Language Pathologist | 2314 E. Shawntel Smith, Muldrow, OK 74948 | 2012-07-19 |
| 1467771881 | Cathy Wood | Counselor | 473101 E 1127 Rd, Muldrow, OK 74948 | 2010-05-25 |
| 1720206576 | Andrea J Self | Pharmacist | 710 E Shawntell Smith Blvd, Muldrow, OK 74948 | 2007-04-24 |
| 1780603134 | Premier Home Health Care, Inc. | Home Health | 1016 E. Shawntel Smith Boulevard, Suite 2, Muldrow, OK 74948 | 2006-07-18 |
| 1386634905 | Bennie Frank Cheek | Family Medicine | 710 E Shawntel Smith Blvd, Suite B, Muldrow, OK 74948 | 2005-10-25 |
| 1558580316 | Muldrow Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 710 E Shawntel Smith Blvd, Muldrow, OK 74948 | 2007-04-24 |
| 1033245733 | Don R. Morton | Dentist | 310 East Shawntel Smith Blvd., Muldrow, OK 74948-0409 | 2007-02-26 |
| 1902860471 | Muldrow Public School | Public Health or Welfare | 715 West Shawntel Smith Blvd., Muldrow, OK 74948-0660 | 2006-04-13 |
| 1447320502 | Muldrow Pharmacy Inc. | Pharmacy | 710 E Shawntel Smith Blvd, Muldrow, OK 74948-1109 | 2006-11-08 |
| Find all providers in zip 74948 | ||||
| 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 |
|---|---|---|---|---|
| 1962928358 | Williams Family Pharmacy, Inc. | Pharmacy | 710 E Shawntel Smith Blvd, Muldrow, OK 74948-4830 | 2017-08-17 |
| 1447320502 | Muldrow Pharmacy Inc. | Pharmacy | 710 E Shawntel Smith Blvd, Muldrow, OK 74948-1109 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
| 1245843796 | Creek Nation Hospital & Clinics | Pharmacy | 1000 Riverwalk Ter, Jenks, OK 74037-5666 | 2020-08-25 |
| 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 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 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 |
| 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.