US DEPT OF JUSTICE (NPI# 1811229966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811229966 |
| Entity Type | Organization |
| Organization Name | US DEPT OF JUSTICE |
| Other Organization Name | FEDERAL CORRECTIONAL INSTITUTION EL RENO, OKLAHOMA |
| Practice Address |
4205 E Highway 66 El Reno OK 73036-9701 |
| Mailing Address |
Po Box 1000 El Reno OK 73036-1000 |
| Practice Telephone | 4053197519 |
| Practice Fax Number | 4053197680 |
| Mailing Telephone | 4053197519 |
| Mailing Fax Number | 4053197680 |
| Enumeration Date | 2010-01-31 |
| Last Update Date | 2010-05-19 |
| Authorized Official Name | REBECCA LOPEZ (CHIEF PHARMACIST) |
| Authorized Official Telephone | 4053197519 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3726075 | 01 |
| Other Name | Type Code |
|---|---|
| Federal Correctional Institution El Reno, Oklahoma | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982933008 | Us Dept of Justice | Pharmacy | 9300 S Wilmot Rd, Tucson, AZ 85756-9706 | 2009-12-19 |
| Street Address |
4205 E HIGHWAY 66 |
| City | EL RENO |
| State | OK |
| Zip Code | 73036-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649670340 | Spencer Tracy Zeavin | Clinic/Center | 4205 E Highway 66, El Reno, OK 73036-9701 | 2014-08-29 |
| 1760815302 | Mark Stephen Elliott | Dentist | 4205 E Highway 66, Dental Clinic, El Reno, OK 73036-9701 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| 1669934436 | Mikaila Marie Martin | Case Manager/Care Coordinator | 600 South Choctaw, El Reno, OK 73036 | 2019-04-02 |
| 1023573250 | Aja D'lin Woods | Counselor | 7777 E Rte 66, El Reno, OK 73036 | 2019-02-01 |
| 1033694229 | Matt Alan Matthews | Counselor | 7401-7799 Rte 66, El Reno, OK 73036 | 2018-10-03 |
| 1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
| 1548766934 | Theresa Arlene Byard | Counselor | 7401-7799 E Us Hwy 66, El Reno, OK 73036 | 2018-04-04 |
| 1669991360 | Melissa Larimore | Counselor | 7565 E Hwy 66, El Reno, OK 73036 | 2017-09-13 |
| 1174045561 | Jordan Garcia | Counselor | 7565 E. Hwy 66, El Reno, OK 73036 | 2017-07-07 |
| 1073034179 | Starr L Johnson | Counselor | 7777 Rte 66, El Reno, OK 73036 | 2017-06-29 |
| 1295190593 | Roger Dale Wantland | Physical Therapist | 1901 Parkway Drive, Elreno, OK 73036 | 2015-12-31 |
| Find all providers in zip 73036 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1710174107 | Northwest Center for Behavioral Health | Pharmacy | 1 Mi E Hwy 270, Fort Supply, OK 73841-0001 | 2007-09-28 |
| 1992134852 | Mercy Hospital Ada Pharmacy | Pharmacy | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-11-01 |
| 1528383841 | Shadow Mountain Behavioral Health System, LLC | Pharmacy | 1027 E 66th Pl, Tulsa, OK 74136-3701 | 2010-03-30 |
| 1235346479 | Tulsa Spine & Specialty Hospital Pharmacy | Pharmacy | 6901 S Olympia Ave, Tulsa, OK 74132 | 2007-05-17 |
| 1558582387 | Moore Medical Center | Pharmacy | 700 S Telephone Rd, Moore, OK 73160-2502 | 2007-05-01 |
| 1518028380 | Jackson County Memorial Hosp Phcy | Pharmacy | 1200 E Pecan St, Altus, OK 73521-6141 | 2006-12-13 |
| 1437226917 | Owasso Medical Facility LLC | Pharmacy | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-11-29 |
| 1285727446 | State of Oklahoma Office of State Finance | Pharmacy | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2006-10-02 |
| 1285739045 | Norman Regional Hospital | Pharmacy | 901 N Porter, Norman, OK 73071-6404 | 2006-09-14 |
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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.