MATTHEW CORGILL (NPI# 1821427428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821427428 |
| Entity Type | Individual |
| Full Name | MATTHEW CORGILL |
| Practice Address |
4112 S Peoria Ave Tulsa OK 74105-7613 |
| Practice Telephone | 9187434491 |
| Practice Fax Number | 9187435432 |
| Mailing Telephone | 9187434491 |
| Mailing Fax Number | 9187435432 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 10991 | OK | Pharmacy Service Providers |
| Street Address |
4112 S PEORIA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74105-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710910237 | Providentia LLC | Durable Medical Equipment & Medical Supplies | 4112 S Peoria Ave, Tulsa, OK 74105-7613 | 2006-07-08 |
| 1558617092 | Samuel Corey Flegal | Pharmacist | 4112 S Peoria Ave, Tulsa, OK 74105-7613 | 2012-08-02 |
| 1750637195 | Stephen Robert Strong | Pharmacist | 4112 S Peoria Ave, Tulsa, OK 74105-7613 | 2012-08-02 |
| 1265750905 | Lawrence Levern Lofstrom | Pharmacist | 4112 S Peoria Ave, Tulsa, OK 74105-7613 | 2010-05-05 |
| 1821327057 | Michael Aaron Dotson | Pharmacist | 4112 S Peoria Ave, Tulsa, OK 74105-7613 | 2009-12-17 |
| 1922173160 | James Maurice Brown | Pharmacist | 4112 S Peoria Ave, Tulsa, OK 74105-7613 | 2006-11-22 |
| 1447262787 | Dennis Edward Dufour | Pharmacist | 4112 S Peoria Ave, Tulsa, OK 74105-7613 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114346707 | Kyle Raleigh | Pharmacy Technician | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2014-04-10 |
| 1720413446 | Cortney Elaine Theriot | Pharmacy Technician | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2013-09-12 |
| 1508103532 | Joshua Luke Abaee | Pharmacy Technician | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2013-01-10 |
| 1992052229 | Sharon Kirkpatrick | Pharmacy Technician | 4125 S Mingo Rd, Tulsa, OK 74146-3633 | 2012-08-06 |
| 1336445006 | Brandi Joy Johnson | Pharmacy Technician | 2325 S Harvard Ave, Suite 400, Tulsa, OK 74114-3300 | 2011-01-28 |
| 1629384235 | Shelly Marie Coleman | Pharmacy Technician | 2325 S Harvard Ave, Suite 400, Tulsa, OK 74114-3300 | 2010-08-20 |
| 1629143763 | Marc Webb | Pharmacy Technician | 6666 S Sheridan Rd, Ste 100, Tulsa, OK 74133-1756 | 2006-11-22 |
| 1992870083 | Brandy Earlene Crawford | Pharmacy Technician | 6666 S Sheridan Rd, Suite 100, Tulsa, OK 74133-1756 | 2006-11-22 |
| 1619910114 | Oklahoma Oncology, Inc. | Pharmacy Technician | 11212 E 48th St, Tulsa, OK 74146 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223911 | Lindsey Brelynn Pulchny | Pharmacy Technician | 744 S Mississippi Ave Ste A, Atoka, OK 74525-3356 | 2020-07-27 |
| 1396243580 | Linda Joann Falling | Pharmacy Technician | 1500 E Downing St Ste 106, Tahlequah, OK 74464-3354 | 2018-01-23 |
| 1598140816 | Austin Scott Klososky | Pharmacy Technician | 13301 S Pennsylvania Ave, Oklahoma City, OK 73170-5007 | 2015-07-28 |
| 1992184436 | Veronica Lavon Austin | Pharmacy Technician | 6305 Ne 63rd St, Oklahoma City, OK 73141-9681 | 2015-05-28 |
| 1619194453 | Heritage Park Pharmacy, LLC | Pharmacy Technician | 6908 E Reno Ave Ste 101, Midwest City, OK 73110-2120 | 2007-04-20 |
| 1679653570 | Gayle Clark | Pharmacy Technician | 815 E 6th Street, Tishomingo, OK 73460 | 2006-10-16 |
| 1134210016 | Mechelle Lynnette Bentley | Pharmacy Technician | 301 West Grand, Tonis Westside Pharmacy, Ponca City, OK 74601 | 2006-09-27 |
| 1619068426 | Tiffany A Buckley | Pharmacy Technician | 4734 S 252nd West Ave, Sand Springs, OK 74063-4319 | 2006-09-27 |
| 1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
| 1679677959 | Anita Lynnette Reynolds | Pharmacy Technician | 116 S Wilson, Vinita, OK 74301 | 2006-09-08 |
| 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.