BLACKWELL PHARMACY LLC (NPI# 1548629579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548629579 |
| Entity Type | Organization |
| Organization Name | BLACKWELL PHARMACY LLC |
| Other Organization Name | HUTTON PHARMACY |
| Practice Address |
119 N Main St Blackwell OK 74631 |
| Mailing Address |
119 N Main St Blackwell OK 74631-2226 |
| Practice Telephone | 5803632137 |
| Practice Fax Number | 5803635582 |
| Mailing Telephone | 5803632137 |
| Mailing Fax Number | 5803635582 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2020-07-03 |
| Authorized Official Name | DAVID GEORGE (CO-OWNER) |
| Authorized Official Telephone | 5803632137 |
| Authorized Official Credential | PHARMD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200634910 A | 05 | |
| OK | 200634910A | 05 | |
| PK | 2158214 | 01 |
| Other Name | Type Code |
|---|---|
| Hutton Pharmacy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 119-121 North Main Street, Blackwell, OK 74631 | 5803632137 | 5803635582 |
| 119 N Main St, Blackwell, OK 74631 | 5803632137 | 5803635582 |
| Street Address |
119 N MAIN ST |
| City | BLACKWELL |
| State | OK |
| Zip Code | 74631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538639901 | Clark Bishop | Pharmacist | 119 N Main St, Blackwell, OK 74631-2226 | 2018-11-28 |
| 1134262603 | Caryen Leemarie Fergeson | Pharmacist | 119 N Main St, Blackwell, OK 74631-2226 | 2007-02-15 |
| 1023004215 | Hutton Pharmacy Inc | Pharmacy | 119 N Main St, Blackwell, OK 74631-2226 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205370194 | Northern Oklahoma Dental Associates Pllc | Clinic/Center | 427 W Doolin Ave, Blackwell, OK 74631 | 2016-12-12 |
| 1184799629 | Ronald Lee Matheson | Registered Nurse | 710 So 13th, Blackwell, OK 74631 | 2006-11-21 |
| 1750300992 | Christopher Ray Chenoweth | Optometrist | 202 E Blackwell, Blackwell, OK 74631 | 2006-07-19 |
| 1518983816 | Nita L Calvin | Physician Assistant | 710 S 13th, Blackwell, OK 74631 | 2006-07-14 |
| 1245210954 | Luther Wayne Ghormley | General Practice | 115 W Bridge Ave, Osler Clinic, Blackwell, OK 74631 | 2006-01-19 |
| 1255355723 | Triad Medical Inc | Durable Medical Equipment & Medical Supplies | 117 N Main, Blackwell, OK 74631-0854 | 2006-07-27 |
| 1255602355 | Blackwell Hmpn, LLC | Family Medicine | 1005 W Doolin Ave, Blackwell, OK 74631-1350 | 2012-01-20 |
| 1821526468 | Kay County Oklahoma Hospital Company LLC | Family Medicine | 1005 W Doolin Ave, Blackwell, OK 74631-1350 | 2017-05-26 |
| 1932634573 | Kay County Oklahoma Hospital Company LLC | Clinic/Center | 1005 W Doolin Ave, Blackwell, OK 74631-1350 | 2017-04-20 |
| 1710233416 | Blackwell Hmpn, LLC | Surgery | 1005 W Doolin Ave, Blackwell, OK 74631-1350 | 2012-07-31 |
| Find all providers in zip 74631 | ||||
| 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 |
|---|---|---|---|---|
| 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.