SHAWNEE REGIONAL PHARMACY INC (NPI# 1770652257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770652257 |
| Entity Type | Organization |
| Organization Name | SHAWNEE REGIONAL PHARMACY INC |
| Other Organization Name | THE CLINIC PHARMACY |
| Practice Address |
3210 Kethley Rd Shawnee OK 74804-9625 |
| Practice Telephone | 4052739417 |
| Practice Fax Number | 4052738849 |
| Mailing Telephone | 4052739417 |
| Mailing Fax Number | 4052738849 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | TIMOTHY BARRICK (OWNER MANAGER OFFICER) |
| Authorized Official Telephone | 4052739417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
105520 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100235610A | 05 | |
| PK | 2073679 | 01 |
| Other Name | Type Code |
|---|---|
| THE CLINIC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851308324 | Shawnee Regional Pharmacy Inc | Pharmacy | 704 S 8th St, Ste B, Mcloud, OK 74851-8633 | 2006-08-01 |
| Street Address |
3210 KETHLEY RD |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568029643 | Tiffany Noel White | Pharmacist | 3210 Kethley Rd, Shawnee, OK 74804-9625 | 2019-05-23 |
| 1174061725 | Barrick Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 3210 Kethley Rd, Shawnee, OK 74804-9625 | 2017-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| 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 |
|---|---|---|---|---|
| 1871653006 | Cosentino Enterprises Inc | Pharmacy | 5600 Hedge Lane Ter, Shawnee, KS 66226-2255 | 2006-12-11 |
| 1477612851 | Shawnee Discount Drug | Pharmacy | 430 N Tucker Ave, Shawnee, OK 74801-7170 | 2006-12-08 |
| 1336243286 | Kansas Cvs Pharmacy, L.L.C. | Pharmacy | 13438 W 62nd Ter, Shawnee, KS 66216-1784 | 2006-09-12 |
| 1861407082 | Walgreen Co | Pharmacy | 11021 Shawnee Mission Pkwy, Shawnee, KS 66203-3515 | 2006-07-29 |
| 1366464000 | Kansas Cvs Pharmacy LLC | Pharmacy | 15700 Shawnee Mission Pkwy, Shawnee, KS 66217-9321 | 2006-07-24 |
| 1205866803 | Hy Vee Inc | Pharmacy | 6495 Quivira Rd, Shawnee, KS 66216-2745 | 2006-07-03 |
| 1902847809 | Kansas Cvs Pharmacy LLC | Pharmacy | 6510 Nieman Rd, Shawnee, KS 66203-3328 | 2006-06-10 |
| 1477593267 | Cosentino Enterprises Inc | Pharmacy | 22210 W 66th St, Shawnee, KS 66226-3521 | 2006-06-08 |
| 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.