OKLAHOMA CVS PHARMACY LLC


Address: 751 W Tuscan St, 121st, Broken Arrow, OK 74011
Phone: 9184550089

OKLAHOMA CVS PHARMACY LLC (NPI# 1942524061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942524061
Entity Type Organization
Organization Name OKLAHOMA CVS PHARMACY LLC
Other Organization Name CVS PHARMACY #01145
Practice Address 751 W Tuscan St
121st
Broken Arrow
OK 74011
Mailing Address 1 Cvs Dr
Box 1075-pharmacy Enrollments
Woonsocket
RI 02895-6146
Practice Telephone 9184550089
Practice Fax Number 9184550024
Mailing Telephone 4017706680
Mailing Fax Number 4017707108
Enumeration Date 2010-03-18
Last Update Date 2010-11-08
Authorized Official Name SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
Authorized Official Telephone 4017702751
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP 3726138 01
OK MEDICAID DME 200288180A 01
OK 200288170A 05

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #01145 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417460577 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 15103 N Macarthur Blvd, Oklahoma City, OK 73013 2017-11-13
1407278260 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 930 West Garriott Rd, Enid, OK 73701-5440 2014-01-14
1295156966 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 100 N. Jm Davis Blvd, Claremore, OK 74017-6811 2013-12-26
1487088191 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1250 W Main St, Durant, OK 74701-4932 2013-08-29
1184060048 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 9122 S Yale Ave, Tulsa, OK 74137-4039 2013-05-20
1629414859 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 511 S Elm St, Jenks, OK 74037-3700 2013-05-15
1093159774 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 251 S Hwy 97, Sand Springs, OK 74063-6521 2013-04-24
1023452851 Oklahoma Cvs Pharmacy LLC Pharmacy 2030 Nw 82nd St, Lawton, OK 73505-2355 2013-04-23
1427307776 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 101 E Hall of Fame Ave, Stillwater, OK 74075-5425 2012-08-31
1568756963 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 720 Sw 19th St, Moore, OK 73160-2941 2011-06-02

Office Location

Street Address 751 W TUSCAN ST
121ST
City BROKEN ARROW
State OK
Zip Code 74011

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336663699 Cpii, LLC Pharmacy 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 2017-07-28
1053833608 Cpii, LLC Pharmacy 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 2017-07-14
1184079709 Melissa David Lactation Consultant, Non-RN 417 West San Diego St., Broken Arrow, OK 74011 2016-05-02
1154789576 Rebecca Young Registered Nurse 7801 S Oak Pl, Broken Arrow, OK 74011 2016-01-29
1174764336 Linda J. Russell Counselor 2446 W New Orleans St, Broken Arrow, OK 74011 2009-03-18
1851409080 Kim Lee Mcneal Dentist 3764 South Elm Place, Broken Arrow, OK 74011 2006-08-28
1669433249 Matthew E Ozment Optometrist 2500 West New Orleans, Broken Arrow, OK 74011 2006-03-31
1912275140 Courtney Brooke Willcoxon Pharmacist 4704 S Elm Pl, Broken Arrow, OK 74011 2011-12-02
1558322883 Gerald Seefeldt Family Medicine 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 2006-03-28
1689772030 Carl M Fisher Do Inc. Ophthalmology 3709 S Orange Cir, Broken Arrow, OK 74011-1103 2006-09-20
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780236653 Carefirst Pharmacy Inc. Pharmacy 2530 N. Elm Pl., Broken Arrow, OK 74012 2019-07-11
1336663699 Cpii, LLC Pharmacy 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 2017-07-28
1336502186 Genoa Healthcare, LLC Pharmacy 8937 S Garnett Rd Ste P, Broken Arrow, OK 74012-6004 2016-03-30
1427132182 Mays Drug Stores In Pharmacy 4900 W Kenosha St, Broken Arrow, OK 74012-8517 2006-10-25
1013958990 Tcaacp LLC Pharmacy 511 S Aspen Ave, Broken Arrow, OK 74012-2296 2006-06-09
1518904945 Albertsons LLC Pharmacy 3612 S Elm Pl, Broken Arrow, OK 74011-1801 2006-06-02
1417994849 Albertsons LLC Pharmacy 2420 E Kenosha St, Broken Arrow, OK 74014-6718 2006-06-02
1902985047 Mays Drug Stores Inc Pharmacy 626 W New Orleans St, Broken Arrow, OK 74011-2212 2006-11-02

Providers in the same taxonomy and state

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
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
1255855854 Okc Scripts LLC Pharmacy 5914 Nw 38th St # 5914, Warr Acres, OK 73122-2008 2017-07-26
1639611403 Saint Francis Pharmacy Services Pharmacy 6161 S Yale B Level Blue North, Tulsa, OK 74136 2016-11-10
1780040675 Convenient Rx Pharmacy 5272 S Lewis Ave Ste 240, Tulsa, OK 74105-6568 2016-01-07
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Competitor

Search similar providers

City BROKEN ARROW
Zip Code 74011

Improve Information

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Dataset Information

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.

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