GUARDIAN PHARMACY OF OKLAHOMA LLC (NPI# 1083084768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083084768 |
| Entity Type | Organization |
| Organization Name | GUARDIAN PHARMACY OF OKLAHOMA LLC |
| Other Organization Name | BOOMER SOLUTIONS |
| Practice Address |
310 S 1st St Eufaula OK 74432-3202 |
| Mailing Address |
Po Box 11407 Dept # 2610 Birmingham AL 35246-2610 |
| Practice Telephone | 8777743706 |
| Practice Fax Number | 8888522946 |
| Mailing Telephone | 4048100089 |
| Mailing Fax Number | 4048100094 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | KYLE SIMMONS (CO-PRESIDENT) |
| Authorized Official Telephone | 8777743706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
487429 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200611770A | 05 | |
| PK | 2154687 | 01 |
| Other Name | Type Code |
|---|---|
| Boomer Solutions | Doing Business As Name - Organization |
| Street Address |
310 S 1ST ST |
| City | EUFAULA |
| State | OK |
| Zip Code | 74432-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477876159 | Boomer Solutions LLC | Pharmacy | 310 S 1st St, Eufaula, OK 74432-3202 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992272249 | Carlton Landing Academy | Local Education Agency (LEA) | 10 Blvd Carlton Landing, Eufaula, OK 74432 | 2018-10-25 |
| 1780169631 | Kristin Corbin | Registered Nurse | 500 Eunice Burns, Eufaula, OK 74432 | 2018-09-26 |
| 1831670934 | Brandy Nicole Chiles | Registered Nurse | 500 Eunice Burns Road, Eufaula, OK 74432 | 2018-08-27 |
| 1922527506 | Rebekah Lea Mason | Counselor | 16820 State Highway 9 East, Eufaula, OK 74432 | 2017-09-14 |
| 1902328727 | Southeast Imaging, LLC | Physiological Laboratory | 111 Forest Ave., Suite C, Eufaula, OK 74432 | 2017-07-13 |
| 1881127561 | Charity Brady | Physical Therapist | 29 Hospital Rd, Eufaula, OK 74432 | 2017-04-10 |
| 1700209145 | Beverly Mefford | Social Worker | 104 Alexander Dr., Eufaula, OK 74432 | 2014-01-21 |
| 1649551177 | Cynthia Paula Vanpool | Case Manager/Care Coordinator | Rural Route 1 Box 131 C, Eufaula, OK 74432 | 2011-08-29 |
| 1285938621 | Drs Odom Coburn and Richardson Pllc | Optometrist | 403 S Main, Eufaula, OK 74432 | 2010-12-28 |
| 1255648580 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley, Eufaula, OK 74432 | 2010-09-08 |
| Find all providers in zip 74432 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
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| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1396381679 | Apothecary Associates LLC | Pharmacy | 1315 N Washington St Ste 3, Weatherford, OK 73096-2443 | 2019-11-21 |
| 1093271769 | Veritas Properties LLC | Pharmacy | 225 W Main St Ste 1, Wilburton, OK 74578-4045 | 2019-02-18 |
| 1649747841 | Pharmacorr, LLC | Pharmacy | 7400 Plaza Mayor Blvd, Ste 100, Oklahoma City, OK 73149 | 2018-10-26 |
| 1467996223 | R&s Drug Store 2 LLC | Pharmacy | 821 W Main St # 201, Duncan, OK 73533-4615 | 2016-12-13 |
| 1982147468 | Hobbs Pharmacy Inc | Pharmacy | 420 W Broadway Ave, Sulphur, OK 73086-4622 | 2016-12-01 |
| 1194185504 | Guardian Pharmacy of Tulsa, LLC | Pharmacy | 5415 S 125th East Ave, Suite 201-203, Tulsa, OK 74146-6232 | 2016-02-26 |
| 1558749192 | Texoma Medical Services Inc | Pharmacy | 417 Sw 7th St Ste 2, Mooreland, OK 73852-7603 | 2015-05-15 |
| Find all providers with the same taxonomy | ||||
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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.