DR. TINA MARIE IMHOFF (NPI# 1649747429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649747429 |
| Entity Type | Individual |
| Full Name | DR. TINA MARIE IMHOFF |
| Credential | PHARM D |
| Practice Address |
310 Fairview Ave Ponca City OK 74601-2001 |
| Practice Telephone | 5807626335 |
| Practice Fax Number | 5807624210 |
| Mailing Telephone | 5807626335 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
15419 | OK | Pharmacy Service Providers |
| Street Address |
310 FAIRVIEW AVE |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821134594 | Ronald Albert Terry | Pharmacist | 310 Fairview Ave, Ponca City, OK 74601-2001 | 2007-01-30 |
| 1689235426 | Rt Family Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 310 Fairview Ave, Ponca City, OK 74601-2001 | 2019-06-24 |
| 1063989846 | Lindsey Bastemeyer | Pharmacist | 310 Fairview Ave, Ponca City, OK 74601-2001 | 2018-10-30 |
| 1326355405 | Derrick Jones | Pharmacist | 310 Fairview Ave, Ponca City, OK 74601-2001 | 2010-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989846 | Lindsey Bastemeyer | Pharmacist | 310 Fairview Ave, Ponca City, OK 74601-2001 | 2018-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821637802 | Aimee Henderson | Pharmacist | 24191 E 996 Rd, Weatherford, OK 73096-9319 | 2019-12-23 |
| 1912434689 | Shannon Lowe | Pharmacist | 36640 Hwy 270 & Barkingwater Rd, Wewoka, OK 74884 | 2017-05-12 |
| 1396346854 | Annie Bejoy Thomas | Pharmacist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-11-02 |
| 1518581636 | Angela Boston | Pharmacist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-06-04 |
| 1902442817 | Michael Jared Scott | Pharmacist | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2019-11-26 |
| 1174166300 | Clifford Blaine Polk | Pharmacist | 420 E Jackson St, Hugo, OK 74743-4021 | 2019-10-21 |
| 1912497934 | Santhosh Thomas | Pharmacist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2018-05-15 |
| 1467906412 | Kyle T Panter | Pharmacist | 510 N Elm Pl, Broken Arrow, OK 74012-2539 | 2016-08-08 |
| 1063864163 | Elizabeth Ann Cook | Pharmacist | 4502 E 41st St, Suite 1h25, Tulsa, OK 74135-2536 | 2016-07-13 |
| 1063666873 | Sandra Hestand | Pharmacist | 9320 N Pennsylvania Pl, The Village, OK 73120-1519 | 2008-11-06 |
| Find all providers with the same taxonomy | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on DR. TINA MARIE IMHOFF.
| 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.