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OKLAHOMA CVS PHARMACY LLC NPI 1053415885


NPI Information

NPI: 1053415885
Provider Name: OKLAHOMA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY # 06004

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
9401 N PENNSYLVANIA AVE
THE VILLAGE, OK
ZIP 73120
Phone: (405) 751-3553
Get Directions

OKLAHOMA CVS PHARMACY LLC is a pharmacy in The Village, OK. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. OKLAHOMA CVS PHARMACY LLC NPI is 1053415885. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 06004.

The provider's business location address is:

9401 N PENNSYLVANIA AVE
THE VILLAGE, OK
ZIP 73120-914
Phone: (405) 751-3553
Fax: (405) 755-1056

The provider's authorized official is Susan F Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 11/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesOKLAHOMANo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy1-5378OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OKB5986MEDICARE PIN
2P00962199MEDICARE PINOKLAHOMA
33702455OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
490003910197MEDICAIDOKLAHOMA
55887790027MEDICARE NSCOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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