Buffalo Pharmacy Management, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

716715 Issued in OK

Legal business name

BUFFALO PHARMACY MANAGEMENT, INC

Doing business as

Medic Pharmacy & Gifts

Practice address

506 N Hoy
Buffalo, OK 73834

Phone

(580) 735-2161

Fax

(580) 735-2230

NPI assigned

May 5, 2014

Last updated

Oct 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg Huenergardt

Title

President

Phone

(580) 938-2854

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medic Pharmacy & Gifts Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Enid Pharmacy Management Inc

  dba Medic Pharmacy

  • Community/Retail Pharmacy
  • Enid, OK
  • NPI 1174710370

  O20091016000148

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wendy Davis, PHARM.D.

  • Pharmacist
  • Buffalo, OK
  • NPI 1811179575
  NPD
• Lisa Marie Oakley

  • Hearing Instrument Specialist
  • Shattuck, OK
  • NPI 1326679044
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1073923645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "BUFFALO",
            "state": "OK",
            "postal_code": "738340679",
            "telephone_number": "580-735-2161",
            "fax_number": "580-735-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N HOY",
            "city": "BUFFALO",
            "state": "OK",
            "postal_code": "73834",
            "telephone_number": "580-735-2161",
            "fax_number": "580-735-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO PHARMACY MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "HUENERGARDT",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-938-2854"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "716715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200123240C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medic Pharmacy & Gifts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Blake Bogdahn, D.PH
• Buffalo Emergency Medical Service District
• Roberta L Daley, PA-C
• Wendy Davis, PHARM.D.
• Harper County Community Hospital
• Harper County Community Hospital (Harper County Community Hospital - Swingbed)
• Harper County Community Hospital (DBA Buffao Family Health Clinic)

• Community/Retail Pharmacy in Buffalo, OK
• Providers in Buffalo, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.