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OKLAHOMA CVS PHARMACY LLC NPI 1831293661


NPI Information

NPI: 1831293661
Provider Name: OKLAHOMA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY # 06233

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 37D2224308

Address:
1308 NORTH BRYANT AVE
EDMOND, OK
ZIP 73034
Phone: (405) 359-1025
Get Directions

OKLAHOMA CVS PHARMACY LLC is a pharmacy in Edmond, 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 1831293661. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 06233.

The provider's business location address is:

1308 NORTH BRYANT AVE
EDMOND, OK
ZIP 73034-201
Phone: (405) 359-1025
Fax: (405) 340-5127

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 CLIA number assigned to this NPI record is 37D2224308 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 9/15/2016.


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
1332B00000XDurable Medical Equipment & Medical SuppliesOKLAHOMANo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy1-5402OKLAHOMAYes

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
190003928413MEDICAIDOKLAHOMA
25887790016MEDICARE NSCOKLAHOMA
3OKB5986MEDICARE PIN
43720643OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5P00962199MEDICARE PINOKLAHOMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.