DISHMAN PHARMACY INC (NPI# 1598763005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598763005 |
| Entity Type | Organization |
| Organization Name | DISHMAN PHARMACY INC |
| Other Organization Name | DISHMAN'S PHARMACY |
| Practice Address |
1310 Sw Lee Blvd Lawton OK 73501-5610 |
| Mailing Address |
Po Box 306 Lawton OK 73502-0306 |
| Practice Telephone | 5803538561 |
| Mailing Telephone | 5803538561 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2011-11-21 |
| Authorized Official Name | MARK CORRALES (SECRETARY) |
| Authorized Official Telephone | 5803538561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 3-5500 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3702948 | 01 |
| Other Name | Type Code |
|---|---|
| Dishman's Pharmacy | Doing Business As Name - Organization |
| Street Address |
1310 SW LEE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-5610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268055 | Bob N Dishman | Pharmacist | 1310 Sw Lee Blvd, Lawton, OK 73501-5610 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| 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 |
|---|---|---|---|---|
| 1942366430 | 1st Pharmacy Corp | Pharmacy | 2702 W. Gore Blvd., Lawton, OK 73505 | 2006-12-29 |
| 1952952566 | Comanche County Hospital Authority | Pharmacy | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2019-09-25 |
| 1902063902 | State of Oklahoma | Pharmacy | 501 Se Flower Mound Rd, Lawton, OK 73501-6388 | 2008-05-19 |
| 1801961743 | Quantum Medical Inc | Pharmacy | 4202 Sw Lee Blvd, Bldg B, Ste 204a, Lawton, OK 73505-8300 | 2006-11-22 |
| 1124059191 | K Mart Corp | Pharmacy | 1050 Nw 38th St, Lawton, OK 73505-3704 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808625 | Bigbox Pharmacy Unlimited LLC | Pharmacy | 509 E Chestnut St Ste B, Hollis, OK 73550-2031 | 2020-07-08 |
| 1033736657 | Genscripts Glenpool, LLC | Pharmacy | 12100 South Yukon Avenue, Suite A, Glenpool, OK 74033 | 2020-06-30 |
| 1952923104 | Creek Nation Hospital & Clinics | Pharmacy | 31870 1/2 East Hwy 51, Coweta, OK 74429-7900 | 2020-05-11 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1225592496 | Crimson Spire Pharmacy | Pharmacy | 5600 S.e. 67 Str, Suite A, Okc, OK 73135 | 2019-01-22 |
| 1366945842 | Pharmore Specialty Pharmacies LLC | Pharmacy | 3330 Nw 56th St Ste 100, Oklahoma City, OK 73112-4426 | 2018-03-12 |
| 1295241867 | Mannford Pharmacy LLC | Pharmacy | 231 W Trower Blvd, Mannford, OK 74044 | 2017-12-19 |
| 1215448337 | 1st Choice Pharmacy | Pharmacy | 1147a W 15th St, Edmond, OK 73013-3008 | 2017-10-16 |
| 1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
| 1255855854 | Okc Scripts LLC | Pharmacy | 5914 Nw 38th St # 5914, Warr Acres, OK 73122-2008 | 2017-07-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DISHMAN PHARMACY 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.