Oklahoma Cvs Pharmacy Llc, NPI 1720302136
Pharmacy in Tulsa, OK, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1720302136 |
| NPI Entity Type | Organization |
| Provider Name |
Oklahoma Cvs Pharmacy Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 4107 S Harvard Ave, Tulsa, OK, US |
| Provider Mailing Address | 1 Cvs Dr, Box 1075-pharmacy Enrollments, Woonsocket, RI, US, 028956146 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Susan Colbert |
| Official Position | DIRECTOR, PAYER RELATIONS |
| Phone | 401-770-2751 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 200289490A | OK | MEDICAID DME | 01 |
| 3726126 | NCPDP | 01 | |
| 200289490B | OK | MEDICAID | 05 |
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| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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MA, NCC, LPC, LAC Christy Tanusaputra Individual |
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MRS. RDH Cala French Individual |
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MISS Megan Elizabeth Young Individual |
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Affordable Health Services Pllc Organization |
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CRNA Kristy J Yates Individual |
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Scarlet Bronson Individual |
614 N Main St. |
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Kayla Jenea Gilbert Individual |
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MRS. DNP, APRN-CNP Sherri Lynn Richardson Individual |
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Mallory Callins Individual |
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APRN Priscilla Rashelle Phelps Individual |
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Natalie Strohm Individual |
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MS; LPC-CANDIDATE Eden Trentham Individual |
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