SHAWNEE REGIONAL HOSPITAL PHARMACY (NPI# 1962629709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962629709 |
| Entity Type | Organization |
| Organization Name | SHAWNEE REGIONAL HOSPITAL PHARMACY |
| Other Organization Name | COMMUNITY HEALTH PARTNERS |
| Practice Address |
1102 W Macarthur St Shawnee OK 74804-1743 |
| Practice Telephone | 4058783435 |
| Practice Fax Number | 4058783497 |
| Mailing Telephone | 4058783435 |
| Mailing Fax Number | 4058783497 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GORDON SMITH RICHARDS JR. (OWNER) |
| Authorized Official Telephone | 4058783435 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 10-4963 | OK | Suppliers |
| Other Name | Type Code |
|---|---|
| COMMUNITY HEALTH PARTNERS | Other Name - Individual/Organization |
| Street Address |
1102 W MACARTHUR ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925781 | Gaynell Marie Schieber Anderson | Family Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2005-07-08 |
| 1720562291 | Eric Olson | Nurse Practitioner | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2018-09-20 |
| 1326555434 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2018-01-10 |
| 1568975225 | Mikayla Jean Sims | Physician Assistant | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2017-11-15 |
| 1245673573 | Allison Nichole Childers | Nurse Practitioner | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2013-04-17 |
| 1710239009 | Community Health Partners,inc | General Acute Care Hospital | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2012-10-10 |
| 1881945277 | Unity Physician Group | Internal Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2012-09-25 |
| 1619260411 | St Anthony Shawnee Hospital, Inc | Family Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2011-05-26 |
| 1861791022 | Michael Jerome Brzozowski | Family Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2011-03-26 |
| 1912201013 | Charli Yvonne Hull | Registered Nurse | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2011-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| 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 |
|---|---|---|---|---|
| 1164594958 | Pharm Shawnee Acquisition LLC | Pharmacy | 1006 N Harrison Ave, Shawnee, OK 74801-6419 | 2006-11-15 |
| 1851322820 | K Mart Corp | Pharmacy | 2323 2327 North Harrison, Shawnee, OK 74804-3134 | 2006-07-06 |
| 1265474662 | Citizan Potawatomi Nation Mail Order Pharmacy | Pharmacy | 2307 Gordon Cooper Dr Ste A, Shawnee, OK 74801-9007 | 2006-06-11 |
| 1225082183 | Saleaumua Inc | Pharmacy | 6232 Nieman Rd, Shawnee, KS 66203-2902 | 2006-05-22 |
| 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.