CREOKS MENTAL HEALTH SERVICES, INC., DBA TRUWELLNESS RX (NPI# 1770908675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770908675 |
| Entity Type | Organization |
| Organization Name | CREOKS MENTAL HEALTH SERVICES, INC., DBA TRUWELLNESS RX |
| Practice Address |
105 East Ross Avenue Sapulpa OK 74066-6423 |
| Mailing Address |
Po Box 700360 Tulsa OK 74170-0360 |
| Practice Telephone | 9182164628 |
| Practice Fax Number | 9182164696 |
| Mailing Telephone | 9183827300 |
| Mailing Fax Number | 9183827302 |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | TABITHA TALBOT (GOHEALTH HELPDESK MANAGER) |
| Authorized Official Telephone | 9183827300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
11-6522 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | PHARMACY LICENSE | 11-7996 | 01 |
| OK | 100734620 | 05 |
| Street Address |
105 EAST ROSS AVENUE |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-6423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1811405202 | Integris Prohealth Inc | Pharmacy | 7301 Sw 44th St # F, Oklahoma City, OK 73179-4308 | 2018-01-19 |
| 1629419726 | Open Arms Clinic | Pharmacy | 5252 N Meridian Ave Ste 101, Oklahoma City, OK 73112-2136 | 2013-07-17 |
| 1699804708 | Great Plains Regional Medical Center | Pharmacy | 825 Sooner Dr., Burns Flat, OK 73624 | 2007-03-05 |
| 1639234057 | Allen Pharmacy Inc | Pharmacy | 521 E Franklin Ave, Weatherford, OK 73096-5337 | 2006-12-26 |
| 1902918915 | Oklahoma County Clinic Phcy | Pharmacy | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2006-08-31 |
| 1730539487 | Good Shepherd Community Clinic, Inc | Pharmacy | 20 12th Ave Nw, Ardmore, OK 73401-5722 | 2016-06-14 |
| 1427429687 | Family Health Center of Southern Oklahoma, Inc. | Pharmacy | 610 E 24th St, Tishomingo, OK 73460-3245 | 2015-10-14 |
| 1700268844 | Community Health Connection, Inc. | Pharmacy | 2321 E 3rd St, Tulsa, OK 74104-1831 | 2015-06-25 |
| 1124382585 | Rx Concepts LLC | Pharmacy | 7302 S Yale Ave Ste 101, Tulsa, OK 74136-7027 | 2012-07-01 |
| 1407116668 | Creek Nation Hospital & Clinics | Pharmacy | 325 S Washita St, Wetumka, OK 74883-5522 | 2012-05-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CREOKS MENTAL HEALTH SERVICES, INC., DBA TRUWELLNESS RX.
| 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.