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ERNIES PHARMACY & WELLNESS CENTER NPI 1093911604


NPI Information

NPI: 1093911604
Provider Name: ERNIES PHARMACY & WELLNESS CENTER

Doing Business As: ERNIES PHARMACY AND WELLNESS CENTER INC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 37D1083805

Address:
410 S 32ND ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 683-0611
Get Directions

ERNIES PHARMACY & WELLNESS CENTER is a community/retail pharmacy pharmacy in Muskogee, OK. The provider is 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. ERNIES PHARMACY & WELLNESS CENTER NPI is 1093911604. The provider is registered as an organization entity type.
The provider Is Doing Business As Ernies Pharmacy And Wellness Center Inc.

The provider's business location address is:

410 S 32ND ST
MUSKOGEE, OK
ZIP 74401-007
Phone: (918) 683-0611
Fax: (918) 683-0620

The provider's authorized official is Ernie Sykora .
The authorized official title is Owner and has the following contact phone number (918) 682-7085.

The CLIA number assigned to this NPI record is 37D1083805 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 1/26/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
43336C0003XPharmacyCommunity/Retail Pharmacy45188OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200198680AMEDICAIDOKLAHOMA
22077137OTHERPK
36361500001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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