QUANTUM MEDICAL INC (NPI# 1801961743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801961743 |
| Entity Type | Organization |
| Organization Name | QUANTUM MEDICAL INC |
| Other Organization Name | QUANTUM PHARMACY |
| Practice Address |
4202 Sw Lee Blvd Bldg B, Ste 204a Lawton OK 73505-8300 |
| Practice Telephone | 5802480808 |
| Practice Fax Number | 5802488996 |
| Mailing Telephone | 5802480808 |
| Mailing Fax Number | 5802488996 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SAM GHOSN (ADMINISTRATOR) |
| Authorized Official Telephone | 5802480808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 3-4367 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100262360B | 05 |
| Other Name | Type Code |
|---|---|
| Quantum Pharmacy | Other Name - Individual/Organization |
| Street Address |
4202 SW LEE BLVD BLDG B, STE 204A |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013909605 | Brian Gillam Birdwell | Internal Medicine | 4202 Sw Lee Blvd, Lawton, OK 73505-8300 | 2005-08-18 |
| 1700490570 | Kristen Renee Molloy | Student in an Organized Health Care Education/Training Program | 4202 Sw Lee Blvd, Lawton, OK 73505-8300 | 2020-08-31 |
| 1659992634 | Oklahoma Mental Health Council | Community/Behavioral Health | 4202 Sw Lee Blvd, Lawton, OK 73505-8300 | 2020-05-01 |
| 1548741358 | Kimberly Nicole Clark | Counselor | 4202 Sw Lee Blvd, Lawton, OK 73505-8300 | 2018-08-29 |
| 1164800348 | Comanche County Healthcare Corporation | Internal Medicine | 4202 Sw Lee Blvd, Bldg A Ste 104, Lawton, OK 73505-8300 | 2015-05-08 |
| 1609133669 | Albert Arredondo Anesthesia Pllc | Specialist | 4202 Sw Lee Blvd, Bldg B Suite A, Lawton, OK 73505-8300 | 2012-04-16 |
| 1104053776 | Laura White | Pediatrics | 4202 Sw Lee Blvd, Building B, Suite 100, Lawton, OK 73505-8343 | 2009-06-22 |
| 1841475035 | Rosemary Bellino Md Inc | Internal Medicine | 4202 Sw Lee Blvd, Bldg A Suite 100, Lawton, OK 73505 | 2008-01-07 |
| 1679758866 | Marty K Sanner Md PC | Internal Medicine | 4202 Sw Lee Blvd, Bldg A Suite 104, Lawton, OK 73505 | 2008-01-07 |
| 1265614812 | James Sylvester Casebeer | Pharmacist | 4202 Sw Lee Blvd, Bldg B, Lawton, OK 73505-8300 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1942366430 | 1st Pharmacy Corp | Pharmacy | 2702 W. Gore Blvd., Lawton, OK 73505 | 2006-12-29 |
| 1952952566 | Comanche County Hospital Authority | Pharmacy | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2019-09-25 |
| 1902063902 | State of Oklahoma | Pharmacy | 501 Se Flower Mound Rd, Lawton, OK 73501-6388 | 2008-05-19 |
| 1124059191 | K Mart Corp | Pharmacy | 1050 Nw 38th St, Lawton, OK 73505-3704 | 2006-07-06 |
| 1598763005 | Dishman Pharmacy Inc | Pharmacy | 1310 Sw Lee Blvd, Lawton, OK 73501-5610 | 2005-07-08 |
| 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 |
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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.