NW BARTLESVILLE LLC NPI 1386074946

NPI Information

NPI: 1386074946
Provider Name: NW BARTLESVILLE LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
:
CLIA Number: 37D2146793
Address: 143 SE WASHINGTON BLVD
BARTLESVILLE, OK
ZIP 74006
Phone: (918) 876-4204

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NPI Details

NW BARTLESVILLE LLC is a pharmacy in Bartlesville, OK. The provider is 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. NW BARTLESVILLE LLC NPI is 1386074946. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

143 SE WASHINGTON BLVD
BARTLESVILLE, OK
ZIP 74006-334
Phone: (918) 876-4204
Fax: (918) 876-4206

The provider's authorized official is Umar Farooq .
The authorized official title is President and has the following contact phone number (501) 392-8680.

The CLIA number assigned to this NPI record is 37D2146793 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2013 and was last updated on 11/18/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
2	333600000X	Pharmacy		9-6509	OKLAHOMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2144292	OTHER		PK
2	200532030A	MEDICAID	OKLAHOMA

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: 11/21/2025

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