PHARMOLOGY BRISTOW LLC (NPI# 1720171168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720171168 |
| Entity Type | Organization |
| Organization Name | PHARMOLOGY BRISTOW LLC |
| Other Organization Name | SUPER H PHARMACY |
| Practice Address |
201 E 7th Ave Bristow OK 74010-2503 |
| Practice Telephone | 9183673328 |
| Practice Fax Number | 9183672415 |
| Mailing Telephone | 9183673328 |
| Mailing Fax Number | 9183672415 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | MATTHEW FIN (OFFICER) |
| Authorized Official Telephone | 4692613048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
11-5374 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100236210A | 05 | |
| PK | 2073744 | 01 |
| Other Name | Type Code |
|---|---|
| SUPER H PHARMACY | Doing Business As Name - Organization |
| Street Address |
201 E 7TH AVE |
| City | BRISTOW |
| State | OK |
| Zip Code | 74010-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205930245 | Letha Virginia Ray | Pharmacist | 201 E 7th Ave, Bristow, OK 74010-2503 | 2006-09-11 |
| 1487261434 | Van Hodges | Pharmacist | 201 E 7th Ave, Bristow, OK 74010-2503 | 2020-09-24 |
| 1366786105 | Prece Denney | Pharmacist | 201 E 7th Ave, Bristow, OK 74010-2503 | 2012-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417291139 | Jeffrey Alan Zander | Pharmacist | 201 E. 7th Ave., Bristow, OK 74010 | 2012-11-19 |
| 1649477811 | Jaimie Ruth Tollison | Occupational Therapist | 122 W. 4th St., Bristow, OK 74010 | 2007-06-29 |
| 1730385378 | Rachel Bruner | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27901 W Hwy 16, Bristow, OK 74010 | 2007-06-21 |
| 1053529552 | Melissa Estelle Mcbride | Physical Therapist | 122 W 4th St, Bristow, OK 74010 | 2007-05-18 |
| 1346375623 | Rebecca L Jones | Social Worker | 3614 W 109th St S, Sapulpa, OK 74010 | 2007-02-23 |
| 1760520555 | Physicians Pathology Inc | Pathology | 17936 S 273rd W Ave, Bristow, OK 74010 | 2007-02-02 |
| 1023178332 | Daniel D Fields | Family Medicine | 700 West 7th Street, Suite 6, Bristow, OK 74010 | 2006-12-11 |
| 1780601328 | Bristow Dental Designs | Dentist | 121 N Main, Bristow, OK 74010 | 2006-07-17 |
| 1750368783 | Frank Deuel Chapman | Family Medicine | 17 Meadowhill, Bristow, OK 74010 | 2005-12-30 |
| 1508864471 | Rainbow Management LLC | Skilled Nursing Facility | 111 E. Washington Ave, Bristow, OK 74010 | 2005-07-13 |
| Find all providers in zip 74010 | ||||
| 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 |
|---|---|---|---|---|
| 1750599247 | Harris Teeter, LLC | Pharmacy | 10438 Bristow Center Dr., Bristow, VA 20136 | 2007-05-18 |
| 1083650683 | Nai Saturn Eastern LLC | Pharmacy | 12821 Braemar Village Plz, Bristow, VA 20136-5502 | 2006-06-21 |
| 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.