Daves Healthmart Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

75850 Issued in OK

Legal business name

DAVES HEALTHMART PHARMACY INC

Practice address

329 N Porter Ave
Norman, OK 73071-5838

Phone

(405) 360-8882

Fax

(405) 360-3154

NPI assigned

Jan 17, 2012

Organization subpart

No

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

Authorized official

Name

Divyesh Patel

Title

Ceo/Pic

Phone

(405) 514-7419

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Dave's Healthmart Pharmacy Inc. Doing business as

Locations

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1134490550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715838",
            "telephone_number": "405-360-8882",
            "fax_number": "405-360-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715838",
            "telephone_number": "405-360-8882",
            "fax_number": "405-360-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVES HEALTHMART PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIVYESH",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "405-514-7419"
    },
    "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": "75850",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200418650A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dave's Healthmart Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dave's Healthmart Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Dart, LCSW
• Karleen Talley Daugherty, MSW
• Justine Dautenhahn, M.D.
• Hanh Davari, PA-C
• Kirstyn Davenport
• Angel Ralyn Daves
• Michael Frank Daves, PH.D.
• Sara L. Daves, L.P.C. & L.M.F.T.
• Sofia Daves
• David a. Porter, MD, 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 Sep 18, 2019; 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.