MOORE MED CNTR CLINIC PHCY (NPI# 1851306476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851306476 |
| Entity Type | Organization |
| Organization Name | MOORE MED CNTR CLINIC PHCY |
| Practice Address |
700 S Telephone Rd Moore OK 73160-2502 |
| Practice Telephone | 4059170315 |
| Practice Fax Number | 4059170321 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TIMOTHY ANDERSON (CORP DIR OF PHCY AND MATERIALS) |
| Authorized Official Telephone | 4059170315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 75069 | OK | Suppliers |
| X | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| X | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| X | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| X | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3724552 | 01 |
| Street Address |
700 S TELEPHONE RD |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009075 | Senthil K Raju | Family Medicine | 700 S Telephone Rd, Moore, OK 73160-2502 | 2005-08-10 |
| 1588262240 | Brian Michael | Social Worker | 700 S Telephone Rd, Moore, OK 73160-2550 | 2020-10-15 |
| 1568085504 | Osu Center for Health Sciences | Clinic/Center | 700 S Telephone Rd, Moore, OK 73160-2502 | 2020-05-26 |
| 1992338776 | Bruce Allan Rau | Occupational Therapist | 700 S Telephone Rd, Moore, OK 73160-2550 | 2020-02-19 |
| 1275179939 | Christina Zitzow | Occupational Therapist | 700 S Telephone Rd, Moore, OK 73160-2550 | 2019-11-18 |
| 1972148740 | Karinda Polk | Physical Medicine & Rehabilitation | 700 S Telephone Rd, Moore, OK 73160-2550 | 2019-11-15 |
| 1831734052 | Kimberly Cusher | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2550 | 2019-11-12 |
| 1508317041 | Stacy Hyden | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2502 | 2016-10-19 |
| 1275081127 | Anna Tooman | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2502 | 2016-09-20 |
| 1023566114 | John Do | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2502 | 2016-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| 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 |
|---|---|---|---|---|
| 1104116508 | Carters Drug Inc | Pharmacy | 1400 Se 4th St, Suite H, Moore, OK 73160 | 2011-04-19 |
| 1487704706 | Debbie Jo Lewis | Pharmacy | 322 N Service Rd, Moore, OK 73160-4945 | 2007-01-11 |
| 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.