Organization Active NPI

State of Oklahoma

  • Long Term Care Pharmacy
  • Claremore, OK
National Provider Identifier
1003073040
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
29-3298 Issued in OK
Legal business name
STATE OF OKLAHOMA
Practice address
3001 W Blue Starr Dr
Claremore, OK 74017-2544
Phone
(918) 342-5432
Fax
(918) 342-5432
NPI assigned
May 19, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kris Veitch
Title
It Strategist
Phone
(405) 523-4091

National Provider Directory

National Provider Directory
Tax ID family
Sallisaw State Veterans Home140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 29-3298 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

3001 W Blue Starr Dr
Claremore, OK 74017-2544

Mailing address

3001 W Blue Starr Dr
Claremore, OK 74017-2544
Phone (918) 342-5432

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2176128OtherPK

Other names 1

NPPES NPI Registry
  • Claremore Veterans Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2018.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1003073040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172544",
            "telephone_number": "918-342-5432",
            "fax_number": "918-342-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172544",
            "telephone_number": "918-342-5432",
            "fax_number": "918-342-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "VEITCH",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "IT STRATEGIST",
        "authorized_official_telephone_number": "405-523-4091"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "29-3298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claremore Veterans Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.