Active NPI
Bestyet Pharmacy LLC
- Community/Retail Pharmacy
- Harrah, OK
National Provider Identifier
1093716342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1-7754
- Legal business name
- BESTYET PHARMACY LLC
- Practice address
- 19671 NE 23Rd St
Harrah, OK 73045-9305 - Phone
- (405) 454-6261
- Fax
- (405) 454-6262
- NPI assigned
- Aug 9, 2005
- 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
- Justin Blake Wilson, PHARMD
- Title
- Owner
- Phone
- (405) 741-1200
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1-7754 | OK | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
19671 NE 23Rd St
Harrah, OK 73045-9305
Mailing address
PO Box 98
Harrah, OK 73045-0098
Phone (405) 454-6261
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100239820B | Medicaid | OK | |
| 100239820A | Medicaid | OK | |
| 2074157 | Other | PK |
Other names 1
- BESTYET HEALTHMART PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060919000019 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 8628073046 | Practice locations: Harrah, OK |
National Provider Directory
National Provider DirectoryLocations
19671 NE 23rd St
Harrah, OK 73045
Phone (405) 454-6261
19655 NE 23rd St
Harrah, OK 73045
Phone (405) 454-6261
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Harrah, OK
- NPI 1356615140
-
- Pharmacist
- Harrah, OK
- NPI 1831191600
-
- Pharmacist
- Harrah, OK
- NPI 1366535114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636156800000",
"number": "1093716342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "HARRAH",
"state": "OK",
"postal_code": "730450098",
"telephone_number": "405-454-6261",
"fax_number": "405-454-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19671 NE 23RD ST",
"city": "HARRAH",
"state": "OK",
"postal_code": "730459305",
"telephone_number": "405-454-6261",
"fax_number": "405-454-6262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BESTYET PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "BLAKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-741-1200",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "1-7754",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100239820B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100239820A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2074157",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BESTYET HEALTHMART PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BESTYET HEALTHMART PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.