Active NPI
H & G Home Medical LLC
- Community/Retail Pharmacy
- Bartlesville, OK
National Provider Identifier
1053521849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 9-4296
- Legal business name
- H & G HOME MEDICAL LLC
- Practice address
- 112 NE Washington Blvd
Bartlesville, OK 74006-1650 - Phone
- (918) 333-4848
- Fax
- (918) 333-8948
- NPI assigned
- May 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary D Harris
- Title
- LLC Member
- Phone
- (918) 333-4848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 9-4296 | OK | Primary |
Addresses
Primary practice location
112 NE Washington Blvd
Bartlesville, OK 74006-1650
Mailing address
112 NE Washington Blvd
Bartlesville, OK 74006-1650
Phone (918) 333-4848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100812150B | Medicaid | OK |
National Provider Directory
National Provider Directory- Tax ID family
- H G Home Medical LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Bartlesville, OK
- NPI 1326188335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218499200000",
"number": "1053521849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 NE WASHINGTON BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740061650",
"telephone_number": "918-333-4848",
"fax_number": "918-333-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 NE WASHINGTON BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740061650",
"telephone_number": "918-333-4848",
"fax_number": "918-333-8948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H & G HOME MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2008-08-12",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "LLC MEMBER",
"authorized_official_telephone_number": "918-333-4848",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "9-4296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100812150B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.