OKLAHOMA CVS PHARMACY LLC (NPI# 1295967925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295967925 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17567 |
| Practice Address |
10019 S Memorial Dr Tulsa OK 74133-6103 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9186155001 |
| Practice Fax Number | 9186155011 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2-7626 | OK | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2121416 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17567 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1407278260 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 930 West Garriott Rd, Enid, OK 73701-5440 | 2014-01-14 |
| 1295156966 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 100 N. Jm Davis Blvd, Claremore, OK 74017-6811 | 2013-12-26 |
| 1487088191 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1250 W Main St, Durant, OK 74701-4932 | 2013-08-29 |
| 1184060048 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9122 S Yale Ave, Tulsa, OK 74137-4039 | 2013-05-20 |
| 1629414859 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 511 S Elm St, Jenks, OK 74037-3700 | 2013-05-15 |
| 1093159774 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 251 S Hwy 97, Sand Springs, OK 74063-6521 | 2013-04-24 |
| 1023452851 | Oklahoma Cvs Pharmacy LLC | Pharmacy | 2030 Nw 82nd St, Lawton, OK 73505-2355 | 2013-04-23 |
| 1427307776 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 E Hall of Fame Ave, Stillwater, OK 74075-5425 | 2012-08-31 |
| 1568756963 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 720 Sw 19th St, Moore, OK 73160-2941 | 2011-06-02 |
| Street Address |
10019 S MEMORIAL DR |
| City | TULSA |
| State | OK |
| Zip Code | 74133-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386199651 | Abbigale Vogt | Pharmacist | 10019 S Memorial Dr, Tulsa, OK 74133-6103 | 2016-08-16 |
| 1679959902 | Christina Phillips | Pharmacist | 10019 S Memorial Dr, Tulsa, OK 74133-6103 | 2015-08-10 |
| 1598164287 | Allison Rachel Lang | Pharmacist | 10019 S Memorial Dr, Tulsa, OK 74133-6103 | 2014-08-19 |
| 1881003531 | Rachael Christine Hodson | Pharmacist | 10019 S Memorial Dr, T-2542, Tulsa, OK 74133-6103 | 2014-08-07 |
| 1548534233 | Tia Dawn Cheves | Pharmacist | 10019 S Memorial Dr, Tulsa, OK 74133-6103 | 2012-02-28 |
| 1912279894 | Sarah Marie Barteaux | Pharmacist | 10019 S Memorial Dr, Tulsa, OK 74133-6103 | 2012-02-07 |
| 1164718573 | Kryslyn Cassada | Pharmacist | 10019 S Memorial Dr, T-2542, Tulsa, OK 74133-6103 | 2011-06-23 |
| 1871887034 | Kristin Lee Bearden | Pharmacist | 10019 S Memorial Dr, Tulsa, OK 74133-6103 | 2011-06-06 |
| 1700170057 | Amy Thornburg | Pharmacist | 10019 S Memorial Dr, T-2542, Tulsa, OK 74133-6103 | 2011-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639611403 | Saint Francis Pharmacy Services | Pharmacy | 6161 S Yale B Level Blue North, Tulsa, OK 74136 | 2016-11-10 |
| 1780040675 | Convenient Rx | Pharmacy | 5272 S Lewis Ave Ste 240, Tulsa, OK 74105-6568 | 2016-01-07 |
| 1386021996 | Costco Wholesale Corporation | Pharmacy | 10220 S Memorial Dr, Tulsa, OK 74133 | 2015-05-04 |
| 1124427745 | Bethel Pharmacy LLC | Pharmacy | 205 E Pine St Ste 7, Tulsa, OK 74106-4859 | 2014-08-19 |
| 1437433448 | Harvard Family Physicians P C | Pharmacy | 7912 E 31st Ct Ste 130, Tulsa, OK 74145-1346 | 2011-10-10 |
| 1871823781 | Glenpool Pharmacy Inc | Pharmacy | 1601 N Peoria Ave, Tulsa, OK 74106-4463 | 2009-12-29 |
| 1457684557 | Metro Pharmacy and Medical Supplies Inc | Pharmacy | 575 E 36th St N, Tulsa, OK 74106-1812 | 2009-09-08 |
| 1427292432 | Aura Corp | Pharmacy | 8066 S Memorial Dr, Tulsa, OK 74133-3644 | 2009-04-22 |
| 1538301197 | Quality First Medical Supplies LLC | Pharmacy | 115 W 3rd St Ste 820, Tulsa, OK 74103-3410 | 2009-03-28 |
| 1881763043 | Mays Drugs Stores Inc | Pharmacy | 9070 East 31st Street, Tulsa, OK 74145 | 2006-11-06 |
| Find all providers in TULSA | ||||
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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.