Ernies Pharmacy & Wellness Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

45188 Issued in OK

Legal business name

ERNIES PHARMACY & WELLNESS CENTER

Doing business as

Ernies Pharmacy and Wellness Center Inc

Practice address

410 S 32ND St
Muskogee, OK 74401-5007

Phone

(918) 683-0611

Fax

(918) 683-0620

NPI assigned

Jun 21, 2007

Last updated

Jan 26, 2015By 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

Ernie SykoraNPI 1346119245

Title

Owner

Phone

(918) 682-7085

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• ERNIES PHARMACY AND WELLNESS CENTER INC Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 7

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.

• Ernie L. Sykora

  • Pharmacist
  • Muskogee, OK
  • NPI 1346119245
  NPD (past) Authorized official
• Niki Renee Sykora, PHARMD

  • Pharmacist
  • Muskogee, OK
  • NPI 1609335173
  NPD
• Nicholas Grant Atherton, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Muskogee, OK
  • NPI 1245979350
  NPD (past)
• Amber Bishop-Jones, PHARMD

  • Pharmacist
  • Muskogee, OK
  • NPI 1558092437
  NPD (past)
• Sara Raejon Logan, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Muskogee, OK
  • NPI 1154060267
  NPD (past)
• Jena Bryn North

  • Pharmacy Technician
  • Muskogee, OK
  • NPI 1942919121
  NPD (past)
• Erica Pembrook, CPHT

  • Pharmacy Technician
  • Muskogee, OK
  • NPI 1538039730
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1093911604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S 32ND ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015007",
            "telephone_number": "918-683-0611",
            "fax_number": "918-683-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S 32ND ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015007",
            "telephone_number": "918-683-0611",
            "fax_number": "918-683-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNIES PHARMACY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "SYKORA",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-682-7085"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "45188",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200198680A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077137",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERNIES PHARMACY AND WELLNESS CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Jo Epperson, PT
• Eric Massad DDS PLLC
• Haven Erie, COTA
• Erin Goss, LPC, Ladc, PLLC
• Ernie's Pharmacy & Wellness Center, Inc. (Ernie's Pharmacy Long Term Care)
• Christopher Bryan Essex, MSN, APRN-CNP
• Whitney Essex, APRN-CNP
• Kimberly Eubanks
• Evans Chiropractic PLLC
• Cheryl Evans

• Community/Retail Pharmacy in Muskogee, OK
• Providers in Muskogee, 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 Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.