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OKLAHOMA CVS PHARMACY LLC NPI 1689778417


NPI Information

NPI: 1689778417
Provider Name: OKLAHOMA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY # 06021

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
800 SE 4TH ST
MOORE, OK
ZIP 73160
Phone: (405) 794-1539
Get Directions

OKLAHOMA CVS PHARMACY LLC is a pharmacy in Moore, 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. OKLAHOMA CVS PHARMACY LLC NPI is 1689778417. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 06021.

The provider's business location address is:

800 SE 4TH ST
MOORE, OK
ZIP 73160-210
Phone: (405) 794-1539
Fax: (405) 794-5804

The provider's authorized official is Susan F Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 11/7/2014.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesOKLAHOMANo
3333600000XPharmacy7-5385OKLAHOMAYes

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
190003916640MEDICAIDOKLAHOMA
2OKB5986MEDICARE PIN
35887790034MEDICARE NSCOKLAHOMA
43712836OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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: 5/5/2024

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