BROOKHAVEN SPECIALTY PHARMACY LLC (NPI# 1760810071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760810071 |
| Entity Type | Organization |
| Organization Name | BROOKHAVEN SPECIALTY PHARMACY LLC |
| Other Organization Name | BROOKHAVEN PHARMACY & COMPOUNDING CENTER |
| Practice Address |
3750 W Robinson St Suite 150 Norman OK 73072-3660 |
| Mailing Address |
5874 S Mingo Rd Tulsa OK 74146-6425 |
| Practice Telephone | 5804216929 |
| Mailing Telephone | 9186950167 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | MRS. KRISTY LAUREN DAVIS (PHARMACIST/PIC) |
| Authorized Official Telephone | 4058014100 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 7-6445 | OK | Suppliers |
| Other Name | Type Code |
|---|---|
| Brookhaven Pharmacy & Compounding Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | BROOKHAVEN SPECIALTY PHARMACY LLC | 3750 W. Robinson, Suite 150, Norman, OK 73072 |
| Street Address |
3750 W ROBINSON ST SUITE 150 |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578514402 | Norman Ultrasound Associates LLC | Clinic/Center | 3750 W Robinson St, Suite 130, Norman, OK 73072-3654 | 2006-05-15 |
| 1942252309 | Norman Pet Associates LLC | Clinic/Center | 3750 W Robinson St, #130, Norman, OK 73072-3654 | 2006-05-16 |
| 1780636142 | Norman Imaging Associates, LLC | Clinic/Center | 3750 W Robinson St, Norman, OK 73072-3654 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| 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 |
|---|---|---|---|---|
| 1134490550 | Daves Healthmart Pharmacy Inc | Pharmacy | 329 N Porter Ave, Norman, OK 73071-5838 | 2012-01-17 |
| 1265511935 | Central Pharmacy& Hospital Equipment Company Inc | Pharmacy | 222 Alameda St, Norman, OK 73069-6001 | 2006-11-03 |
| 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 | ||||
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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.