OK COMPOUNDING (NPI# 1245579937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245579937 |
| Entity Type | Organization |
| Organization Name | OK COMPOUNDING |
| Other Organization Name | OK COMPOUNDING |
| Practice Address |
102 Broadway Skiatook OK 74070 |
| Practice Telephone | 9183960100 |
| Practice Fax Number | 9183960113 |
| Mailing Telephone | 9183960100 |
| Mailing Fax Number | 9183960113 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | STACIE MILLER (PHARMACIST IN CHARGE, PARTNER) |
| Authorized Official Telephone | 9183960100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
166161 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3727154 | 01 |
| Other Name | Type Code |
|---|---|
| OK COMPOUNDING | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | OK COMPOUNDING MANAGEMENT AND OKLAHOMA PAIN AND WELLNESS, LLC | 7712 S Yale Ave, Ste 200, Tulsa, OK 74136 |
| Street Address |
102 BROADWAY |
| City | SKIATOOK |
| State | OK |
| Zip Code | 74070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031819 | Michelle Gaviola | Nurse Practitioner | 14867 Stoney Ridge Ln, Skiatook, OK 74070 | 2020-10-23 |
| 1356823751 | 24 Our Care LLC | Case Management | 15594 Overlook Dr, Skiatook, OK 74070 | 2018-08-31 |
| 1558884643 | Peyton Leigh Patrick | Specialist/Technologist, Other | 11553 West 176th St North, Skiatook, OK 74070 | 2017-07-20 |
| 1578950952 | Jake Landreth, Dc, Inc | Chiropractor | 108 N. Broadway, Skiatook, OK 74070 | 2015-04-23 |
| 1154718807 | Timothy Bushyhead | Family Medicine | 1501 W Rogers Blvd, Skiatook, OK 74070 | 2015-04-21 |
| 1508280413 | Tiffany Sybille Turner | Speech-Language Pathologist | 3920 E 142nd Pl N, Skiatook, OK 74070 | 2014-02-12 |
| 1073831178 | Deborah Kay Pattillo | Marriage & Family Therapist | 5801 West 168 Street North, Skiatook, OK 74070 | 2010-05-13 |
| 1386972131 | Cie Chloee Pshigoda | Physician Assistant | 8409 Summit Ave, Skiatook, OK 74070 | 2009-12-04 |
| 1356525943 | Pedro M Soto | Denturist | 4996 1/2 W Rogers Blvd, Skiatook, OK 74070 | 2007-12-19 |
| 1265586119 | Cory L Hicks | Chiropractor | 1529 W Rogers Blvd, Suite C Lakeside Chiropractic Clinic, Skiatook, OK 74070 | 2007-01-22 |
| Find all providers in zip 74070 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1609273903 | Tlc Pharmacy, LLC | Pharmacy | 5510 S Western Ave, Oklahoma City, OK 73109-4511 | 2014-12-02 |
| 1255609855 | Hospice Pharmacy Providers, LLC | Pharmacy | 9100 N Garnett Rd Ste K, Owasso, OK 74055-4467 | 2011-12-09 |
| 1588992861 | Integris Prohealth Inc | Pharmacy | 5915 W Memorial Rd Ste 110, Oklahoma City, OK 73142-2022 | 2009-11-25 |
| 1326294968 | Cherokee Nation | Pharmacy | 19600 North Ross Street, Tahlequah, OK 74464 | 2008-08-14 |
| 1649441387 | All Saints Home Medical, L.L.C. | Pharmacy | 11212 E. 48th St, Tulsa, OK 74146 | 2008-03-21 |
| 1982806527 | Evans Specialty Pharmacy | Pharmacy | 1110 W Willow Rd, Enid, OK 73703-2503 | 2007-06-05 |
| 1831208719 | Creek Nation Hospital & Clinics | Pharmacy | 500 Eunice Burns Rd, Eufaula, OK 74432-4052 | 2006-08-30 |
| 1770595449 | Amerita, Inc. | Pharmacy | 12515 E 55th St, Tulsa, OK 74146 | 2006-08-12 |
| 1427601525 | Epic Pharmacy LLC | Pharmacy | 2249 Nw 39th St, Oklahoma City, OK 73112-8831 | 2019-07-18 |
| 1477876159 | Boomer Solutions LLC | Pharmacy | 310 S 1st St, Eufaula, OK 74432-3202 | 2010-03-09 |
| 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.