The Chickasaw Nation Employee Clinic Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THE CHICKASAW NATION EMPLOYEE CLINIC PHARMACY

Practice address

2080 State Hwy 9 West
Norman, OK 73072

Phone

(405) 322-6868

Fax

(405) 322-6833

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Matthew Fleming, PHARMDNPI 1871050831

Title

Pharmacy Manager

Phone

(405) 322-6868

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHICKASAW NATION EMPLOYEE CLINIC PHARMACY-NORMAN Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Fleming, PHARMD

  • Pharmacist
  • Norman, OK
  • NPI 1871050831
  NPD Authorized official
• Amanda V Conley, PHARMD

  • Pharmacist
  • Sulphur, OK
  • NPI 1083221063
  NPD
• Gina Danielle Garrett, DPH

  • Pharmacist
  • Ada, OK
  • NPI 1689261315
  NPD

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1124442801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 STATE HWY 9 WEST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73072",
            "telephone_number": "405-322-6868",
            "fax_number": "405-322-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 STATE HWY 9 WEST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73072",
            "telephone_number": "405-322-6868",
            "fax_number": "405-322-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHICKASAW NATION EMPLOYEE CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "405-322-6868",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200436850B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHICKASAW NATION EMPLOYEE CLINIC PHARMACY-NORMAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Jeanette Thayer
• Derek Thayer, PTA
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• The Eden Clinic, Inc.
• The LPC Group LLC
• The Lung Center
• The Nest 4D Ultrasound LLC
• The Norman Add Center, PLLC

• Community/Retail Pharmacy in Norman, OK
• Providers in Norman, 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 Mar 13, 2024; 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.