CHRIS ISBELL PHARMACY LLC (NPI# 1912447806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912447806 |
Entity Type | Organization |
Organization Name | CHRIS ISBELL PHARMACY LLC |
Other Organization Name | JOHNNY'S HOMETOWN PHARMACY |
Practice Address |
303 E Ray Fine Blvd Roland OK 74954-5362 |
Mailing Address |
Po Box 408 Roland OK 74954-0408 |
Practice Telephone | 9184270400 |
Practice Fax Number | 9184270401 |
Mailing Telephone | 9184270400 |
Mailing Fax Number | 9184270401 |
Enumeration Date | 2017-02-27 |
Last Update Date | 2020-03-20 |
Authorized Official Name | CHRIS ISBELL (OWNER) |
Authorized Official Telephone | 9184270400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
347856 | OK | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 220467407 | 05 | |
OK | 200699000A | 05 |
Other Name | Type Code |
---|---|
Johnny's Hometown Pharmacy | Doing Business As Name - Organization |
Street Address |
303 E RAY FINE BLVD |
City | ROLAND |
State | OK |
Zip Code | 74954-5362 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346223328 | Johnnys Hometown Pharmacy PC | Pharmacy | 303 E Ray Fine Blvd, Ste 100, Roland, OK 74954-5362 | 2005-11-23 |
1063747632 | Fort Smith Hma Home Health | Home Health | 303 E Ray Fine Blvd, Roland, OK 74954-5362 | 2009-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164969887 | Trinka Blankenship | Case Manager/Care Coordinator | 509 Dewey St, Poteau, OK 74954 | 2017-01-20 |
1972959625 | Karen Lynn Williams | Nurse Practitioner | 508 W. Ray Fine Blvd, Roland, OK 74954 | 2016-05-12 |
1285068791 | St. Madron Medical Clinic | Specialist | 205 E. Ray Fine Blvd St. 6, Roland, OK 74954 | 2013-09-03 |
1316178155 | Kimberley Ann Brunk | Optometrist | 1022 East Ray Fine Boulevard Suite 5, Roland, OK 74954 | 2009-07-28 |
1891939765 | Gary L Axley | Acupuncturist | 303 E. Ray Fine Blvd, Ste 3, Roland, OK 74954 | 2009-04-23 |
1598944944 | Seubold Family Chiropractic Inc | Chiropractor | 311 4 E Ray Fine Blvd, Suite4, Roland, OK 74954 | 2007-11-01 |
1689799793 | Cynthia Carol Almond | Preventive Medicine | 309 East Ray Fine Blvd, Roland, OK 74954 | 2007-03-20 |
1457498644 | Robert Kale | Anesthesiology | 100 East Ray Fine Blvd., Suite Q, Roland, OK 74954 | 2007-01-30 |
1255491494 | Lequita J. Joyce Inc | Counselor | 100 East Ray Fine Blvd, Roland, OK 74954 | 2006-12-11 |
1174604268 | Morgan A Seubold | Chiropractor | 1022 E Ray Fine Blvd, Ste 4, Roland, OK 74954 | 2006-10-17 |
Find all providers in zip 74954 |
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] |
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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.