OKLAHOMA CVS PHARMACY LLC (NPI# 1760404487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760404487 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16007 |
| Practice Address |
5400 N May Ave Oklahoma City OK 73112-5407 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4059458375 |
| Practice Fax Number | 4054152805 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-10-25 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1-7614 | OK | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2077038 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16007 | 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 |
5400 N MAY AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779956 | Raymond Emit Leniger | Pharmacist | 5400 N May Ave, Oklahoma City, OK 73112-5407 | 2020-04-24 |
| 1730733775 | Mandee Rachelle Davis | Pharmacist | 5400 N May Ave, Oklahoma City, OK 73112-5407 | 2019-07-29 |
| 1699174979 | Marci Rhodes | Pharmacist | 5400 N May Ave, Oklahoma City, OK 73112-5407 | 2014-08-22 |
| 1336496249 | Audrey Marie Butler | Pharmacist | 5400 N May Ave, T-0043, Oklahoma City, OK 73112-5407 | 2012-08-09 |
| 1508141631 | Jennifer Gurtz | Pharmacist | 5400 N May Ave, Oklahoma City, OK 73112-5407 | 2011-10-20 |
| 1669752978 | Hillary Kay Reaber | Pharmacist | 5400 N May Ave, T-0043, Oklahoma City, OK 73112-5407 | 2011-08-18 |
| 1811284441 | Jessica Hope Estrada | Pharmacist | 5400 N May Ave, T-0043, Oklahoma City, OK 73112-5407 | 2011-07-04 |
| 1538454996 | Dana Renee Smith | Pharmacist | 5400 N May Ave, T-0043, Oklahoma City, OK 73112-5407 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 | 73112 |
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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.