CLAREMORE IHS PHARMACY (NPI# 1023168051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023168051 |
| Entity Type | Organization |
| Organization Name | CLAREMORE IHS PHARMACY |
| Other Organization Name | CLAREMORE IHS PHARMACY |
| Practice Address |
101 S Moore Ave Claremore OK 74017-5047 |
| Mailing Address |
Po Box 676735 Dallas TX 75267-6735 |
| Practice Telephone | 9183426581 |
| Practice Fax Number | 9183426330 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | TRACIE PATTEN (AREA PHARMACY CONSULTANT) |
| Authorized Official Telephone | 4059516035 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3711062 | 01 | |
| OK | 100231960I | 05 | |
| OK | 1002319601 | 05 |
| Other Name | Type Code |
|---|---|
| CLAREMORE IHS PHARMACY | Doing Business As Name - Organization |
| Street Address |
101 S MOORE AVE |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478251 | Jeneva Sue Arnold I | Pharmacist | 101 S Moore Ave, Claremore, OK 74017-5047 | 2005-06-28 |
| 1063021483 | Jenilee Skidmore | Advanced Practice Midwife | 101 S Moore Ave, Claremore, OK 74017-5047 | 2020-07-31 |
| 1598382582 | Ashley Nicole Patterson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2020-06-25 |
| 1588200190 | Andrea K Rake | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1396381901 | Megan Campbell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1750922704 | Laura Anne Blackwood | Licensed Practical Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-10-01 |
| 1801437868 | Victoria Lynn Sanders | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-10-01 |
| 1720629884 | Timothy Dewayne Cordell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-30 |
| 1417508003 | Jonathan Edward Martin | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-09-25 |
| 1700437449 | Micah Taylor | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639472970 | Carnegie Indian Health Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 212 E. 4th St, Carnegie, OK 73015 | 2010-12-08 |
| 1568512374 | Wewoka Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Intersection of Hwy 56 and 270, Wewoka, OK 74884 | 2007-01-12 |
| 1316097389 | Anadarko Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 115 Ne Old Town Rd, Anadarko, OK 73005-5009 | 2007-01-11 |
| 1538219431 | El Reno Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1801 Parkview Drive, El Reno, OK 73632 | 2007-01-11 |
| 1871663203 | Sac & Fox Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2006-11-09 |
| 1699790543 | Li-si-wi-nwi Health, Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 15951 Little Axe Drive, Norman, OK 73026-9001 | 2006-07-13 |
| 1952303190 | Pawhuska Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2005-06-01 |
| 1568839470 | Osage Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2015-08-26 |
| 1295142115 | Choctaw Nation of Oklahoma | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1801 Chukka Hina, Durant, OK 74701 | 2014-07-14 |
| 1598053993 | Citizen Potawatomi Nation West Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2011-07-19 |
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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.