ONESOURCE LLC (NPI# 1154733293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154733293 |
| Entity Type | Organization |
| Organization Name | ONESOURCE LLC |
| Other Organization Name | ONESOURCE |
| Practice Address |
124 Buffalo St Caddo OK 74729-2606 |
| Mailing Address |
31 Liberty St Calera OK 74730-5519 |
| Practice Telephone | 5802796001 |
| Practice Fax Number | 5803672206 |
| Mailing Telephone | 5803022322 |
| Mailing Fax Number | 5804346250 |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | TONY HUDGINS (PRESIDENT) |
| Authorized Official Telephone | 5802796001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
27-6731 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2145875 | 01 | |
| OK | 200447310B | 05 |
| Other Name | Type Code |
|---|---|
| OneSource | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241430 | Onesource LLC | Pharmacy | 100 Don Williams Ave, Ste 100, Tuttle, OK 74730 | 2017-08-18 |
| 1841546249 | Onesource LLC | Pharmacy | 213 E Main St Ste 100, Calera, OK 74730-2102 | 2012-08-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Onesource LLC | 16163 W. 45th Drive, Unit E, Golden, CO 80403 |
| Oklahoma Business Registrations | ONESOURCE LLC | 11 W Main St, Calera, OK 74730 |
| Street Address |
124 BUFFALO ST |
| City | CADDO |
| State | OK |
| Zip Code | 74729-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760721294 | Emily Ruth Love | Nurse Practitioner | 128 Buffalo St., Caddo, OK 74729 | 2013-02-04 |
| 1285978007 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-11-16 |
| 1477899532 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-12-18 |
| 1629452933 | Alicia Pettett | Speech-Language Pathologist | 600 S Mcpherren Street, Caddo, OK 74729-0128 | 2015-07-16 |
| 1033251525 | Bryan County School District I5 | Local Education Agency (LEA) | 600 S Mcpheron, Caddo, OK 74729-0128 | 2007-02-13 |
| 1821413501 | Tina Renee Harrison | Nurse Practitioner | 128 Buffalo Stree, Caddo, OK 74729-0146 | 2014-03-04 |
| 1730560459 | Jennifer Green | Case Manager/Care Coordinator | 610 Russell Rd, Caddo, OK 74729-1111 | 2015-06-18 |
| 1225357858 | Dion Lynore Martin | Counselor | 529 Hope Cir # 17, Caddo, OK 74729-1800 | 2010-05-21 |
| 1053639278 | Dana Melynda Blackwell | Behavioral Analyst | 6544 Nails Crossing Rd, Caddo, OK 74729-2016 | 2010-05-12 |
| 1033354121 | Kari Kamay Harrison | Registered Nurse | 138 Freeny Valley Rd, Caddo, OK 74729-2607 | 2008-12-04 |
| Find all providers in zip 74729 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
| 1245843796 | Creek Nation Hospital & Clinics | Pharmacy | 1000 Riverwalk Ter, Jenks, OK 74037-5666 | 2020-08-25 |
| 1104451095 | Oklahoma Specialty Pharmacy,llc | Pharmacy | 13921 N Meridian Ave Ste 102, Oklahoma City, OK 73134-1103 | 2020-03-11 |
| 1437797248 | Oxford Pharmacy LLC | Pharmacy | 6001 S Sooner Rd Ste B, Oklahoma City, OK 73135-5601 | 2019-12-12 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ONESOURCE LLC.
| 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.