Organization Active NPI

H & G Home Medical LLC

  • Community/Retail Pharmacy
  • Bartlesville, OK
National Provider Identifier
1053521849
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9-4296 Issued in OK
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

Updated by the provider on Aug 12, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100812150BMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
H G Home Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.