OKLAHOMA CVS PHARMACY LLC (NPI# 1588686299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588686299 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16004 |
| Practice Address |
1701 S Yale Ave Tulsa OK 74112-6221 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9182930196 |
| Practice Fax Number | 9188772520 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2-7613 | OK | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2076204 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16004 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1407278260 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 930 West Garriott Rd, Enid, OK 73701-5440 | 2014-01-14 |
| 1295156966 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 100 N. Jm Davis Blvd, Claremore, OK 74017-6811 | 2013-12-26 |
| 1487088191 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1250 W Main St, Durant, OK 74701-4932 | 2013-08-29 |
| 1184060048 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9122 S Yale Ave, Tulsa, OK 74137-4039 | 2013-05-20 |
| 1629414859 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 511 S Elm St, Jenks, OK 74037-3700 | 2013-05-15 |
| 1093159774 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 251 S Hwy 97, Sand Springs, OK 74063-6521 | 2013-04-24 |
| 1023452851 | Oklahoma Cvs Pharmacy LLC | Pharmacy | 2030 Nw 82nd St, Lawton, OK 73505-2355 | 2013-04-23 |
| 1427307776 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 E Hall of Fame Ave, Stillwater, OK 74075-5425 | 2012-08-31 |
| 1568756963 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 720 Sw 19th St, Moore, OK 73160-2941 | 2011-06-02 |
| Street Address |
1701 S YALE AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74112-6221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257766 | Kristina Meyer | Pharmacist | 1701 S Yale Ave, Tulsa, OK 74112-6221 | 2020-05-19 |
| 1679987283 | Jody Charles Thomas | Pharmacist | 1701 S Yale Ave, Tulsa, OK 74112-6221 | 2014-06-12 |
| 1568713576 | Margaret Teresa Ohnesorge I | Pharmacist | 1701 S Yale Ave, T-0019, Tulsa, OK 74112-6221 | 2012-10-01 |
| 1750631172 | Keevie Chinsethagid Ridener | Pharmacist | 1701 S Yale Ave, T0019, Tulsa, OK 74112-6221 | 2012-09-12 |
| 1467747006 | Jess Michael Trevino | Pharmacist | 1701 S Yale Ave, T-0019, Tulsa, OK 74112-6221 | 2011-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457824161 | Dawn Medi Spa, Inc | Nurse Practitioner | 1243 South Harvard Ave, Dawn Medi Spa, Inc, Tulsa, OK 74112 | 2019-01-04 |
| 1598121063 | All American Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 8740 E 11th St, Suite B, Tulsa, OK 74112 | 2016-01-13 |
| 1619341229 | Mauricia Stokes | Social Worker | 2325 S. Harvard Ave, Tulsa, OKLAHOMA 74112 | 2015-11-19 |
| 1053711762 | Montanta Cummings | Case Manager/Care Coordinator | 1901 S 68th E Ave, Apt 112b, Tulsa, OK 74112 | 2014-08-29 |
| 1134439862 | Janet Augerhole | Speech-Language Pathologist | 1724 S. Harvard Ave, Tulsa, OK 74112 | 2010-10-15 |
| 1457517872 | Palmer Continuum of Care | Community/Behavioral Health | 711 S. Sheridan Rd., Tulsa, OK 74112 | 2008-08-05 |
| 1386767820 | Tanya Jolene Skotarek Tuffour | Counselor | 501 S. Pittsburg Ave, Tulsa, OK 74112 | 2007-04-09 |
| 1376655860 | Gerald D Chicoine | Chiropractor | 3739 E 11th St, Tulsa, OK 74112 | 2006-08-31 |
| 1780791590 | Mark A Smalley | Social Worker | 3712 E 11th Street, Tulsa, OK 74112 | 2006-08-25 |
| 1841717311 | Kenneth I Fields IIi | Pharmacist | 6336 E 4th Pl, Tulsa, OK 74112 | 2017-08-25 |
| Find all providers in zip 74112 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639611403 | Saint Francis Pharmacy Services | Pharmacy | 6161 S Yale B Level Blue North, Tulsa, OK 74136 | 2016-11-10 |
| 1780040675 | Convenient Rx | Pharmacy | 5272 S Lewis Ave Ste 240, Tulsa, OK 74105-6568 | 2016-01-07 |
| 1386021996 | Costco Wholesale Corporation | Pharmacy | 10220 S Memorial Dr, Tulsa, OK 74133 | 2015-05-04 |
| 1124427745 | Bethel Pharmacy LLC | Pharmacy | 205 E Pine St Ste 7, Tulsa, OK 74106-4859 | 2014-08-19 |
| 1437433448 | Harvard Family Physicians P C | Pharmacy | 7912 E 31st Ct Ste 130, Tulsa, OK 74145-1346 | 2011-10-10 |
| 1871823781 | Glenpool Pharmacy Inc | Pharmacy | 1601 N Peoria Ave, Tulsa, OK 74106-4463 | 2009-12-29 |
| 1457684557 | Metro Pharmacy and Medical Supplies Inc | Pharmacy | 575 E 36th St N, Tulsa, OK 74106-1812 | 2009-09-08 |
| 1427292432 | Aura Corp | Pharmacy | 8066 S Memorial Dr, Tulsa, OK 74133-3644 | 2009-04-22 |
| 1538301197 | Quality First Medical Supplies LLC | Pharmacy | 115 W 3rd St Ste 820, Tulsa, OK 74103-3410 | 2009-03-28 |
| 1881763043 | Mays Drugs Stores Inc | Pharmacy | 9070 East 31st Street, Tulsa, OK 74145 | 2006-11-06 |
| Find all providers in TULSA | ||||
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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.