BALTRO LLC (NPI# 1306909916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306909916 |
| Entity Type | Organization |
| Organization Name | BALTRO LLC |
| Other Organization Name | CENTER PHARMACY |
| Practice Address |
124 Coonrod Ave Mannford OK 74044-3290 |
| Mailing Address |
5828 S 170th West Ave Sand Springs OK 74063-2312 |
| Practice Telephone | 9188652164 |
| Practice Fax Number | 9188657933 |
| Mailing Telephone | 9182453791 |
| Mailing Fax Number | 9182453791 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2015-07-14 |
| Authorized Official Name | WILLIE HIGGINS (OWNER/PHARMACIST) |
| Authorized Official Telephone | 9182453791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
11-6040 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200447810A | 05 | |
| PK | 2137411 | 01 |
| Other Name | Type Code |
|---|---|
| Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730437955 | Baltro LLC | Pharmacy | 124 Coonrod Ave, Mannford, OK 74044-3290 | 2012-08-20 |
| Street Address |
124 COONROD AVE |
| City | MANNFORD |
| State | OK |
| Zip Code | 74044-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164539623 | Bryan D Adams | Pharmacist | 124 Coonrod Ave, Mannford, OK 74044-3437 | 2006-08-23 |
| 1730437955 | Baltro LLC | Pharmacy | 124 Coonrod Ave, Mannford, OK 74044-3290 | 2012-08-20 |
| 1912254616 | Willie James Higgins | Pharmacist | 124 Coonrod Ave, Mannford, OK 74044-3290 | 2012-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295241867 | Mannford Pharmacy LLC | Pharmacy | 231 W Trower Blvd, Mannford, OK 74044 | 2017-12-19 |
| 1093182602 | Sarah Higgins | Physical Therapist | 112 Evans Avenue, Mannford, OK 74044 | 2015-08-31 |
| 1497086979 | Conhold of Mannford LLC | Skilled Nursing Facility | 404 E Cimarron, Mannford, OK 74044 | 2010-01-22 |
| 1659490589 | Mark A. Mercer | Chiropractor | 150 E. Coonrod Ave., Mannford, OK 74044 | 2007-03-29 |
| 1427174218 | At Home Supplies | Durable Medical Equipment & Medical Supplies | 177 Granada Drive, Mannford, OK 74044 | 2007-03-22 |
| 1992829360 | Ralph Frederick Jerome | Physical Therapist | 103 Phelps Blvd, Mannford, OK 74044 | 2007-03-19 |
| 1114059573 | Mannford Public Schools | Student in an Organized Health Care Education/Training Program | Evans and Greenwood St, Mannford, OK 74044 | 2007-03-12 |
| 1255481453 | Mercer Health Inc | Chiropractor | 150 E Coonrod Ave, Mannford, OK 74044 | 2007-01-11 |
| 1861553919 | Barbara Ann Murphy | Optometrist | 145 Bill Phelps Blvd, Mannford, OK 74044 | 2006-12-13 |
| 1407924301 | Ronald Gerald Glass | Dentist | 152 Coonrod Avenue, Mannford, OK 74044 | 2006-12-01 |
| Find all providers in zip 74044 | ||||
| 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 |
|---|---|---|---|---|
| 1730437955 | Baltro LLC | Pharmacy | 124 Coonrod Ave, Mannford, OK 74044-3290 | 2012-08-20 |
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|---|---|---|---|---|
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| 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.