INTEGRIS PROHEALTH INC (NPI# 1811405202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811405202 |
Entity Type | Organization |
Organization Name | INTEGRIS PROHEALTH INC |
Other Organization Name | THE CLINIC RX PHARMACY |
Practice Address |
7301 Sw 44th St # F Oklahoma City OK 73179-4308 |
Mailing Address |
3435 Nw 56th St Ste 301a Oklahoma City OK 73112-4428 |
Practice Telephone | 4053573510 |
Practice Fax Number | 4053573513 |
Mailing Telephone | 4059493120 |
Mailing Fax Number | 4058156445 |
Enumeration Date | 2018-01-19 |
Last Update Date | 2020-03-30 |
Authorized Official Name | JOEL LANE (DIRECTOR) |
Authorized Official Telephone | 4059493120 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | 18106 | OK | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2175308 | 01 |
Other Name | Type Code |
---|---|
The Clinic Rx Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669867396 | Integris Prohealth Inc | Pharmacy | 600 S Monroe St Ste 1a, Enid, OK 73701-7211 | 2015-03-31 |
1952796682 | Integris Prohealth Inc | Pharmacy | 1205 Health Center Pkwy Ste 115, Yukon, OK 73099-6396 | 2015-03-31 |
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 |
1588992861 | Integris Prohealth Inc | Pharmacy | 5915 W Memorial Rd Ste 110, Oklahoma City, OK 73142-2022 | 2009-11-25 |
1275814337 | Integris Prohealth Inc | Pharmacy | 4833 Integris Pkwy, Suite 130, Edmond, OK 73034-8864 | 2011-09-02 |
1679614531 | Integris Prohealth Inc | Pharmacy | 4221 S Western Ave, Ste 1020, Oklahoma City, OK 73109-3447 | 2007-02-12 |
1255497525 | Integris Prohealth Inc | Pharmacy | 3433 Nw 56th St, Ste 140b, Oklahoma City, OK 73112-4455 | 2006-12-29 |
Street Address |
7301 SW 44TH ST # F |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73179-4308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679063929 | Jamie Guthrie | Nurse Practitioner | 4104 Windgate West, Okc, OK 73179 | 2018-05-12 |
1063486280 | Tanya M Keck-smith | Physician Assistant | 5031 Sw 29th Street, Access Medical Center, Oklahoma City, OK 73179 | 2006-02-14 |
1902285075 | Julie Bynum | Registered Nurse | 3212 Wexford Ave, Oklahoma City, OK 73179-1202 | 2015-05-22 |
1801145388 | Cheryl Lynn Dixon | Counselor | 3221 Wexford Ave, Oklahoma City, OK 73179-1203 | 2012-08-30 |
1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
1588828826 | Kelly S. Beals, Inc. | Dietitian, Registered | 3220 Rockhampton Ave, Oklahoma City, OK 73179-1223 | 2008-07-16 |
1104396548 | Adalis Alyse Parker | Student in an Organized Health Care Education/Training Program | 9512 Sw 31st St, Oklahoma City, OK 73179-1232 | 2018-11-28 |
1477967966 | Eloisa Perez | Counselor | 3216 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2014-06-12 |
1366799371 | Kasandra Deann Redwine | Behavioral Analyst | 3200 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2012-08-08 |
1063873966 | Lacey Elizabeth Krivanek | Speech-Language Pathologist | 3209 Westbury Glen Blvd, Oklahoma City, OK 73179-1247 | 2016-03-19 |
Find all providers in zip 73179 |
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 | 73179 |
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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.