MR. MARK MEACHAM (NPI# 1023151404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023151404 |
| Entity Type | Individual |
| Full Name | MR. MARK MEACHAM |
| Credential | R.PH. |
| Practice Address |
825 Sooner Drive Burns Flat OK 73624-0469 |
| Mailing Address |
825 Sooner Dr. Po Box 469 Burns Flat OK 73624-0469 |
| Practice Telephone | 5805624868 |
| Practice Fax Number | 5805624581 |
| Mailing Telephone | 5805624868 |
| Mailing Fax Number | 5805624581 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9637 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134229644 | Mark H Meacham | Family Medicine | 4065 Center Rd Ste 220, Brunswick, OH 44212-5325 | 2006-09-24 |
| Street Address |
825 SOONER DRIVE |
| City | BURNS FLAT |
| State | OK |
| Zip Code | 73624-0469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111785 | Comanche County Hospital Authority | Clinic/Center | 825 Sooner Drive, Burns Flat, OK 73624 | 2019-12-19 |
| 1831383496 | Farmers Union Hospital Association | Clinic/Center | 825 Sooner Drive, Burns Flat, OK 73624 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144771791 | Joshua Goldman | Case Manager/Care Coordinator | 96a Cherokee Trail, Burns Flat, OK 73624 | 2016-10-19 |
| 1699804708 | Great Plains Regional Medical Center | Pharmacy | 825 Sooner Dr., Burns Flat, OK 73624 | 2007-03-05 |
| 1699730259 | Town of Burns Flat Washita Co | Ambulance | Town Hall S. Hwy 44, Burns Flat, OK 73624 | 2006-04-18 |
| 1982861134 | South Western Oklahoma Development Authority | Case Management | 420 Sooner Drive, Burns Flat, OK 73624-0569 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144771791 | Joshua Goldman | Case Manager/Care Coordinator | 96a Cherokee Trail, Burns Flat, OK 73624 | 2016-10-19 |
| 1982861134 | South Western Oklahoma Development Authority | Case Management | 420 Sooner Drive, Burns Flat, OK 73624-0569 | 2008-05-16 |
| 1699804708 | Great Plains Regional Medical Center | Pharmacy | 825 Sooner Dr., Burns Flat, OK 73624 | 2007-03-05 |
| 1699730259 | Town of Burns Flat Washita Co | Ambulance | Town Hall S. Hwy 44, Burns Flat, OK 73624 | 2006-04-18 |
| 1679111785 | Comanche County Hospital Authority | Clinic/Center | 825 Sooner Drive, Burns Flat, OK 73624 | 2019-12-19 |
| 1831383496 | Farmers Union Hospital Association | Clinic/Center | 825 Sooner Drive, Burns Flat, OK 73624 | 2007-08-28 |
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699927 | Machell Lyn Gable | Pharmacist | 951 E Sh 152, Mustang, OK 73064-5119 | 2020-11-04 |
| 1972104099 | James R Hargis | Pharmacist | 1820 Rosedale Dr, Edmond, OK 73013-6638 | 2020-11-04 |
| 1912508003 | Tyler O Mattocks | Pharmacist | 3571 W Rock Creek Rd, Norman, OK 73072-2473 | 2020-11-04 |
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1285234864 | April Holmes | Pharmacist | 220 S Highway 97, Sand Springs, OK 74063-6571 | 2020-10-31 |
| 1932709664 | Nouha Hilal | Pharmacist | 8241 S 100th East Pl, Tulsa, OK 74133-4545 | 2020-10-30 |
| 1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1023618360 | Michelle Lam | Pharmacist | 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | BURNS FLAT |
| Zip Code | 73624 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.