PHYSICIAN PREFERRED MEDICAL, LLC (NPI# 1801146782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801146782 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN PREFERRED MEDICAL, LLC |
| Practice Address |
3300 Nw 56th St 101 Oklahoma City OK 73112-4538 |
| Mailing Address |
3300 Nw 56th St Suite 101 Oklahoma City OK 73112-4538 |
| Practice Telephone | 8552030681 |
| Practice Fax Number | 4052131554 |
| Mailing Telephone | 8552030681 |
| Mailing Fax Number | 4052131554 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | KENNETH RYAN ORTON (MANAGING MEMBER) |
| Authorized Official Telephone | 4052061313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200497520A | 05 |
| Street Address |
3300 NW 56TH ST 101 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932109279 | Teresa G Craig | Radiology | 3300 Nw 56th St, Ste Ll100, Oklahoma City, OK 73112-4538 | 2005-07-28 |
| 1578027876 | Jennie Nicole Garrod | Nurse Practitioner | 3300 Nw 56th St, Oklahoma City, OK 73112-4538 | 2019-01-31 |
| 1578931481 | John Todd Robinett, Do PC | Obstetrics & Gynecology | 3300 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4538 | 2015-09-09 |
| 1457728834 | Victoria Mills Do PC | Obstetrics & Gynecology | 3300 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4538 | 2015-09-01 |
| 1598039455 | Leslie P Warcup | Registered Nurse | 3300 Nw 56th St, Ste. 202, Oklahoma City, OK 73112-4538 | 2012-02-23 |
| 1558505917 | William D Wright Md Pllc | Internal Medicine | 3300 Nw 56th St, Suite 100, Oklahoma City, OK 73112-4538 | 2009-04-28 |
| 1235307935 | Artesian Rt Associates | Clinic/Center | 3300 Nw 56th St, Oklahoma City, OK 73112-4538 | 2008-02-15 |
| 1912945817 | Lorri Jo Dobbins | Obstetrics & Gynecology | 3300 Nw 56th St, Ste 202, Oklahoma City, OK 73112-4538 | 2006-06-03 |
| 1871545632 | John T Robinett | Obstetrics & Gynecology | 3300 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4538 | 2006-05-17 |
| 1558321489 | Dominic M Pedulla | Internal Medicine | 3300 Nw 56th St, Suite 200, Oklahoma City, OK 73112-4538 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1588122790 | Costco Wholesale Corporation | Pharmacy | 13200 N Western Ave, Oklahoma City, OK 73114-1434 | 2019-03-06 |
| 1588169692 | Okcity Rx, LLC | Pharmacy | 3300 Nw 56th St Ste 101, Oklahoma City, OK 73112-4530 | 2018-03-29 |
| 1154833796 | Life Pharmacy II | Pharmacy | 1015 N Shartel Ave Ste B, Oklahoma City, OK 73102-1032 | 2017-11-03 |
| 1104252600 | Premier Drug, LLC | Pharmacy | 804 West I-240 Service Road, Suite F, Oklahoma City, OK 73139 | 2013-09-17 |
| 1679905384 | Healthscripts of America - Oklahoma City, LLC | Pharmacy | 804 W I 240 Service Rd Ste F, Oklahoma City, OK 73139-4503 | 2013-08-05 |
| 1740426915 | Home Care Medical, LLC | Pharmacy | 220 Nw 10th St, Oklahoma City, OK 73103-3902 | 2008-12-18 |
| 1467661413 | Jim Rx PC | Pharmacy | 2300 Exchange Ave, Oklahoma City, OK 73108-2436 | 2007-05-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.