OKLAHOMA CVS PHARMACY LLC (NPI# 1669576492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669576492 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 06226 |
| Practice Address |
2323 N Martin Luther King Ave Oklahoma City OK 73111-2405 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4054240557 |
| Practice Fax Number | 4054240105 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | OK | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 1-5397 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3720578 | 01 | |
| OK | 90003928470 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 06226 | 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 |
2323 N MARTIN LUTHER KING AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73111-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104395920 | Patra Kositchaiwat Gilbert | Pharmacist | 2323 N Martin Luther King Ave, Oklahoma City, OK 73111-2496 | 2018-11-21 |
| 1598279408 | Ifunanya Okoli | Pharmacist | 2323 N Martin Luther King Ave, Oklahoma City, OK 73111-2405 | 2017-11-30 |
| 1225540842 | Damian Dartez | Pharmacy | 2323 N Martin Luther King Ave, Oklahoma City, OK 73111-2405 | 2017-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114779 | Brandi N Ridley | Counselor | 3621 N. Kelley Ave Ste. 100, Oklahoma City, OK 73111 | 2017-03-08 |
| 1790134708 | Raymond Arthur Smith Jr. | Counselor | 2329 Nw 111th, Oklahoma, OK 73111 | 2016-06-09 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1528438710 | Brendel Lacey | Case Manager/Care Coordinator | 3017 N Martin Luther King Avenue, Oklahoma City, OK 73111 | 2015-09-30 |
| 1194108746 | Mary Margaret Mcmiller | Social Worker | 2700 Ne 63rd St, Oklahoma City, OK 73111 | 2015-07-01 |
| 1386037349 | Michelle Patrick | Counselor | 2525 Nw Expressway Suite 531, Building Up People Behavioral Health Service, Oklahoma, OK 73111 | 2015-03-13 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1033458070 | Mary Boyles | Case Manager/Care Coordinator | 1732 N Kelly, Oklahoma, OK 73111 | 2013-02-12 |
| 1427312164 | Sharonda Lavon Bowie | Counselor | 1328 Ne 53rd St, Oklahoma City, OK 73111 | 2012-06-27 |
| 1598029373 | Michael Brown | Counselor | 4413 Rock Island Circle, Oklahoma City, OK 73111 | 2012-06-27 |
| Find all providers in zip 73111 | ||||
| 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 |
|---|---|---|---|---|
| 1366945842 | Pharmore Specialty Pharmacies LLC | Pharmacy | 3330 Nw 56th St Ste 100, Oklahoma City, OK 73112-4426 | 2018-03-12 |
| 1487019352 | American Specialty Pharmacy Inc | Pharmacy | 3405 Nw Expressway, Oklahoma City, OK 73112-4419 | 2015-12-21 |
| 1114392115 | Remedi Seniorcare of Oklahoma LLC | Pharmacy | 4243 Will Rogers Pkwy, Oklahoma City, OK 73108-2039 | 2015-12-02 |
| 1356769509 | Integris Prohealth Inc | Pharmacy | 4401 S Western Ave Ste 1f181, Oklahoma City, OK 73109-3413 | 2014-04-04 |
| 1093133241 | Integris Prohealth Inc | Pharmacy | 3300 Nw Expressway Ste 1d1191, Oklahoma City, OK 73112-4418 | 2014-04-04 |
| 1659625820 | Express Drug LLC | Pharmacy | 12032 S Western Ave, Oklahoma City, OK 73170-5910 | 2012-11-09 |
| 1962708461 | Board of Regents, University of Oklahoma, Jecc Pharmacy | Pharmacy | 1200 Childrens Ave Rm 7303, Oklahoma City, OK 73104-4637 | 2011-01-31 |
| 1851602866 | Board of Regents of The University of Oklahoma Ou Childrens Pharmacy | Pharmacy | 1200 Childrens Ave Ste 2a, Oklahoma City, OK 73104-4637 | 2010-06-24 |
| 1306167572 | Bfl Mlk LLC | Pharmacy | 2001 Ne 23rd St, Oklahoma City, OK 73111-3401 | 2010-06-22 |
| 1396860474 | Hac Inc | Pharmacy | 12508 N May Ave, Oklahoma City, OK 73120-1947 | 2007-03-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73111 |
Please comment or provide details below to improve the information on OKLAHOMA CVS PHARMACY LLC.
| 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.