THERACOMPRX LLC (NPI# 1598181000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598181000 |
| Entity Type | Organization |
| Organization Name | THERACOMPRX LLC |
| Practice Address |
1414 Arlington St Ste 2200 Ada OK 74820-2646 |
| Practice Telephone | 5804369922 |
| Practice Fax Number | 5804369919 |
| Mailing Telephone | 5804369922 |
| Mailing Fax Number | 5804369919 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |
| Authorized Official Name | MR. KENNETH WAYNE BAILES II (PHARMACIST-IN-CHARGE/OWNER) |
| Authorized Official Telephone | 5807596238 |
| Authorized Official Credential | RPH, PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
23-6620 | OK | Suppliers |
| Street Address |
1414 ARLINGTON ST STE 2200 |
| City | ADA |
| State | OK |
| Zip Code | 74820-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304586 | Jorge Luis Solorzano | Optometrist | 1414 Arlington St, Ste 1400, Ada, OK 74820-2643 | 2005-05-27 |
| 1205243631 | Corning Eye Center, Pllc | Ophthalmology | 1414 Arlington St, Suite 1400, Ada, OK 74820-2646 | 2014-07-17 |
| 1255671806 | Ada Pediatric Clinic | Nurse Practitioner | 1414 Arlington St, Suite 1700, Ada, OK 74820-2646 | 2013-02-19 |
| 1861748543 | Midwest City Hma Physician Management, LLC | Family Medicine | 1414 Arlington St, Suite 2200, Ada, OK 74820-2646 | 2012-07-31 |
| 1881923787 | Saints Medical Group, LLC | Family Medicine | 1414 Arlington St, Suite 2200, Ada, OK 74820-2643 | 2009-12-24 |
| 1427293448 | Dusty K Dennis | Physical Therapist | 1414 Arlington St, Ste 2200, Ada, OK 74820-2694 | 2008-12-04 |
| 1699933911 | Sharon Weirick | Clinical Nurse Specialist | 1414 Arlington St, Suite 1700, Ada, OK 74820-2643 | 2008-05-23 |
| 1598941973 | Patrick J O'neill Do | Family Medicine | 1414 Arlington St, Suite 2200, Ada, OK 74820-2643 | 2008-01-15 |
| 1528254109 | Southern Oklahoma Urology, Inc | Clinic/Center | 1414 Arlington St, Suite 2300, Ada, OK 74820-2643 | 2007-09-18 |
| 1033259114 | Grant Nash Corning | Ophthalmology | 1414 Arlington St, Suite 1400, Ada, OK 74820-2646 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083799373 | Mccortney Drug Inc | Pharmacy | 711 E 9th St, Ada, OK 74820-3807 | 2006-10-26 |
| 1073091070 | Broderick Enterprises, LLC | Pharmacy | 711 E 9th St, Ada, OK 74820-3807 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932679099 | Zrc Pharmacy, LLC | Pharmacy | 7158 Nw 112th St, Oklahoma City, OK 73162-2773 | 2018-12-03 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1235688060 | Mustang Drug LLC | Pharmacy | 103 E State Highway 152, Mustang, OK 73064-4406 | 2016-09-21 |
| 1376900761 | Moore Rx, LLC | Pharmacy | 2018 S Service Rd # I-35, Moore, OK 73160-5512 | 2016-01-15 |
| 1508221854 | Carefirst Pharmacy Tulsa Inc | Pharmacy | 6214 S Sheridan Rd, Tulsa, OK 74133-4055 | 2015-12-30 |
| 1063840437 | Healthcare Pharmacy of Oklahoma Inc | Pharmacy | 110 Burr Ave Ste A, Pauls Valley, OK 73075-3848 | 2013-10-23 |
| 1073952354 | Patriot Pharmacies LLC | Pharmacy | 329 S Elm St Ste 130, Jenks, OK 74037-3777 | 2013-06-19 |
| 1871938241 | Economy Pharmacy Inc | Pharmacy | 6585 S Yale Ave Ste 102, Tulsa, OK 74136-8384 | 2013-04-30 |
| 1154664191 | Green Country Rx LLC | Pharmacy | 700 N Lynn Riggs Blvd, Claremore, OK 74017-5623 | 2013-03-28 |
| 1194076216 | Reasors LLC | Pharmacy | 11116 S Memorial Dr, Bixby, OK 74008-2038 | 2012-09-28 |
| 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.