CITY DRUG OF DAVIS OKLAHOMA INC (NPI# 1861574667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861574667 |
| Entity Type | Organization |
| Organization Name | CITY DRUG OF DAVIS OKLAHOMA INC |
| Other Organization Name | CITY DRUG OF DAVIS, OKLA., INC. |
| Practice Address |
218 E Main St Davis OK 73030-1904 |
| Practice Telephone | 5803692831 |
| Practice Fax Number | 5803692614 |
| Mailing Telephone | 5803692831 |
| Mailing Fax Number | 5803692614 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | HEIDI WRIGHT (PRESIDENT) |
| Authorized Official Telephone | 5803692831 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
555491 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100232340A | 05 | |
| PK | 2123724 | 01 |
| Other Name | Type Code |
|---|---|
| City Drug of Davis, Okla., Inc. | Doing Business As Name - Organization |
| Street Address |
218 E MAIN ST |
| City | DAVIS |
| State | OK |
| Zip Code | 73030-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376556910 | Randal E. Moore | Pharmacist | 218 E Main St, Davis, OK 73030-1904 | 2006-08-14 |
| 1619980265 | Heidi Brooke Wright | Pharmacist | 218 E Main St, Davis, OK 73030-1904 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790144160 | Our House Mhsa Inc | Community/Behavioral Health | 115 East Main, Davis, OK 73030 | 2016-02-15 |
| 1255677381 | Davis Public Schools | Local Education Agency (LEA) | 400 East Atlantic St, Davis, OK 73030 | 2012-12-18 |
| 1639462617 | Kathryn Howe | Clinic/Center | 112 East Main Suite 101, Davis, OK 73030 | 2011-05-24 |
| 1568730125 | Natalie K O'dell | Case Manager/Care Coordinator | 121 E Main St, Suite 101, Davis, OK 73030 | 2011-12-09 |
| 1629680038 | Stefanie Jane Fisher | Nurse Practitioner | 404 W Main St, Davis, OK 73030-1701 | 2020-08-18 |
| 1811506389 | Lee Sykes | Nurse Practitioner | 404 W Main St, Davis, OK 73030-1701 | 2020-07-30 |
| 1801095377 | Phillip Carl Tabor Jr. | Optometrist | 119w Main St, Davis, OK 73030-1747 | 2007-07-16 |
| 1306467618 | Tabor Eye Clinic, LLC | Optometrist | 119 W Main St, Davis, OK 73030-1747 | 2020-04-28 |
| 1225643844 | Kaitlin A Hesse | Physical Therapist | 201 W Main St, Davis, OK 73030-1749 | 2020-09-10 |
| 1730606062 | Amanda Felder | Physical Therapist | 201 W Main St, Davis, OK 73030-1749 | 2017-08-28 |
| Find all providers in zip 73030 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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 |
|---|---|---|---|---|
| 1982882429 | Apothecary Botanica | Pharmacy | 417 Mace Blvd, Suite D, Davis, CA 95618-6053 | 2008-02-06 |
| 1629012067 | Longs Drug Stores California LLC | Pharmacy | 1471 W Covell Blvd, Davis, CA 95616-5932 | 2006-06-15 |
| 1801140751 | Dignity Health | Pharmacy | 2440 W Covell Blvd, Davis, CA 95616-5671 | 2012-10-30 |
| 1114932712 | Regents of The University of California | Pharmacy | 2660 W Covell Blvd, Davis, CA 95616-5645 | 2006-07-30 |
| 1932141744 | Longs Drug Stores California LLC | Pharmacy | 1550 E Covell Blvd, Davis, CA 95616-1352 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
| 1245843796 | Creek Nation Hospital & Clinics | Pharmacy | 1000 Riverwalk Ter, Jenks, OK 74037-5666 | 2020-08-25 |
| 1104451095 | Oklahoma Specialty Pharmacy,llc | Pharmacy | 13921 N Meridian Ave Ste 102, Oklahoma City, OK 73134-1103 | 2020-03-11 |
| 1437797248 | Oxford Pharmacy LLC | Pharmacy | 6001 S Sooner Rd Ste B, Oklahoma City, OK 73135-5601 | 2019-12-12 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| 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.