DEDMON PHARMACY INC (NPI# 1326508706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326508706 |
| Entity Type | Organization |
| Organization Name | DEDMON PHARMACY INC |
| Practice Address |
213 W Broadway St Spiro OK 74959-2419 |
| Mailing Address |
Po Box 220 Spiro OK 74959-0220 |
| Practice Telephone | 9189622131 |
| Practice Fax Number | 9189625750 |
| Mailing Telephone | 9189622131 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | DR. BRADLEY WAYNE DEDMON (PRESIDENT) |
| Authorized Official Telephone | 9189622131 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100246960B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821181264 | Dedmon Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 213 W Broadway St, Spiro, OK 74959-2419 | 2006-09-30 |
| Street Address |
213 W BROADWAY ST |
| City | SPIRO |
| State | OK |
| Zip Code | 74959-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821181264 | Dedmon Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 213 W Broadway St, Spiro, OK 74959-2419 | 2006-09-30 |
| 1497881098 | Bradley Wayne Dedmon | Pharmacist | 213 W Broadway St, Spiro, OK 74959-2419 | 2007-02-26 |
| 1922147834 | Danielle Loren Dedmon | Pharmacist | 213 W Broadway St, Spiro, OK 74959-2419 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891148292 | Regan Lynn Huff | Case Manager/Care Coordinator | 228822 Racetrack Road, Spiro, OK 74959 | 2016-07-20 |
| 1891920211 | Compassion Home Care, Inc. | Home Health | 19409 Us Hwy 271, Spiro, OK 74959 | 2009-05-29 |
| 1578042404 | Baptist Health Services | Family Medicine | 702 W Broadway St, Spiro, OK 74959 | 2018-08-10 |
| 1487149043 | River Valley Primary Care, L.L.C. | Family Medicine | 107 W Broadway St, Spiro, OK 74959-2417 | 2018-06-26 |
| 1205822681 | Keifer Layne Fisher | Dentist | 318 W Broadway St, Spiro, OK 74959-2422 | 2005-09-21 |
| 1730277740 | Spiro Family Dental P.C. | Clinic/Center | 318 W Broadway St, Spiro, OK 74959-2422 | 2006-10-11 |
| 1770848004 | Spiro Public Schools | Speech-Language Pathologist | 600 W Broadway St, Spiro, OK 74959-2428 | 2012-07-12 |
| 1336137728 | Robert C Williams | Family Medicine | 702 W Broadway St, Spiro, OK 74959-2430 | 2005-10-10 |
| 1891350104 | Osu Center for Health Sciences | Clinic/Center | 702 W Broadway St, Spiro, OK 74959-2430 | 2019-05-02 |
| 1346724887 | Nata Matthews | Nurse Practitioner | 702 W Broadway St, Spiro, OK 74959-2430 | 2018-09-20 |
| Find all providers in zip 74959 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1396381679 | Apothecary Associates LLC | Pharmacy | 1315 N Washington St Ste 3, Weatherford, OK 73096-2443 | 2019-11-21 |
| 1093271769 | Veritas Properties LLC | Pharmacy | 225 W Main St Ste 1, Wilburton, OK 74578-4045 | 2019-02-18 |
| 1649747841 | Pharmacorr, LLC | Pharmacy | 7400 Plaza Mayor Blvd, Ste 100, Oklahoma City, OK 73149 | 2018-10-26 |
| 1467996223 | R&s Drug Store 2 LLC | Pharmacy | 821 W Main St # 201, Duncan, OK 73533-4615 | 2016-12-13 |
| 1982147468 | Hobbs Pharmacy Inc | Pharmacy | 420 W Broadway Ave, Sulphur, OK 73086-4622 | 2016-12-01 |
| 1194185504 | Guardian Pharmacy of Tulsa, LLC | Pharmacy | 5415 S 125th East Ave, Suite 201-203, Tulsa, OK 74146-6232 | 2016-02-26 |
| 1558749192 | Texoma Medical Services Inc | Pharmacy | 417 Sw 7th St Ste 2, Mooreland, OK 73852-7603 | 2015-05-15 |
| 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.