INTEGRIS PROHEALTH INC (NPI# 1275814337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275814337 |
| Entity Type | Organization |
| Organization Name | INTEGRIS PROHEALTH INC |
| Other Organization Name | INTEGRIS PHARMACY 4187 |
| Practice Address |
4833 Integris Pkwy Suite 130 Edmond OK 73034-8864 |
| Mailing Address |
3435 Nw 56th St Suite 301 Oklahoma City OK 73112-4448 |
| Practice Telephone | 4056573900 |
| Practice Fax Number | 4054710030 |
| Mailing Telephone | 4059493120 |
| Mailing Fax Number | 4058156445 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | JOEL LANE (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 4059493120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1-6899 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100710550B | 05 | |
| PK | 2131512 | 01 | |
| OK | 100710550G | 05 |
| Other Name | Type Code |
|---|---|
| INTEGRIS Pharmacy 4187 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811405202 | Integris Prohealth Inc | Pharmacy | 7301 Sw 44th St # F, Oklahoma City, OK 73179-4308 | 2018-01-19 |
| 1669867396 | Integris Prohealth Inc | Pharmacy | 600 S Monroe St Ste 1a, Enid, OK 73701-7211 | 2015-03-31 |
| 1952796682 | Integris Prohealth Inc | Pharmacy | 1205 Health Center Pkwy Ste 115, Yukon, OK 73099-6396 | 2015-03-31 |
| 1356769509 | Integris Prohealth Inc | Pharmacy | 4401 S Western Ave Ste 1f181, Oklahoma City, OK 73109-3413 | 2014-04-04 |
| 1093133241 | Integris Prohealth Inc | Pharmacy | 3300 Nw Expressway Ste 1d1191, Oklahoma City, OK 73112-4418 | 2014-04-04 |
| 1588992861 | Integris Prohealth Inc | Pharmacy | 5915 W Memorial Rd Ste 110, Oklahoma City, OK 73142-2022 | 2009-11-25 |
| 1679614531 | Integris Prohealth Inc | Pharmacy | 4221 S Western Ave, Ste 1020, Oklahoma City, OK 73109-3447 | 2007-02-12 |
| 1255497525 | Integris Prohealth Inc | Pharmacy | 3433 Nw 56th St, Ste 140b, Oklahoma City, OK 73112-4455 | 2006-12-29 |
| Street Address |
4833 INTEGRIS PKWY SUITE 130 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-8864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295726719 | Joshua P Carey | Surgery | 4833 Integris Pkwy, Suite 350, Edmond, OK 73034 | 2005-11-03 |
| 1518396860 | Kevin Teal, M.d., P.C. | Neurological Surgery | 4833 Integris Pkwy, Ste 200, Edmond, OK 73034-8864 | 2013-11-07 |
| 1528327442 | Katherine Luthey Shepherd | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2012-05-11 |
| 1205107737 | Samantha Klepper | Physical Therapist | 4833 Integris Pkwy, Suite 100, Edmond, OK 73034-8864 | 2012-01-13 |
| 1982999637 | Courtney Seacat | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2011-06-10 |
| 1841453446 | Robb Alan Schiermeyer | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2008-07-03 |
| 1174781926 | John B Gruel | Orthopaedic Surgery | 4833 Integris Pkwy, Suite 150, Edmond, OK 73034-8864 | 2008-05-29 |
| 1457532046 | Dena Elaine O'leary | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2007-11-25 |
| 1962514455 | Laura Diane Stearman | Urology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2006-08-31 |
| 1518901099 | Sonja Johnson Hughes | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 1235613886 | Aps 1705, LLC | Pharmacy | 1705 Renaissance Blvd Ste 110, Edmond, OK 73013-3045 | 2018-09-19 |
| 1437663101 | Arc Healthmeds LLC | Pharmacy | 16309 N Santa Fe Ave, Suite C, Edmond, OK 73013-2602 | 2017-11-16 |
| 1124035035 | Walgreen Co | Pharmacy | 15100 N Western Ave, Edmond, OK 73013-1108 | 2006-08-02 |
| 1033131750 | Oklahoma Cvs Pharmacy LLC | Pharmacy | 1200 E 2nd St, Edmond, OK 73034-5317 | 2006-07-24 |
| 1194764571 | Wenjest Corporation | Pharmacy | 1151 N Bryant Ave, Edmond, OK 73034-3251 | 2006-06-04 |
| 1306265640 | Mercy Pharmacy Services, LLC | Pharmacy | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2014-04-15 |
| 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 | ||||
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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.