Enid Pharmacy Management Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55616 Issued in OK

Legal business name

ENID PHARMACY MANAGEMENT INC

Practice address

1925 W Owen K Garriott Rd
Enid, OK 73703-5528

Phone

(580) 242-3784

Fax

(580) 237-4199

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Gregory S Huenergardt, DPH

Title

Co Owner

Phone

(580) 938-2854

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MEDIC PHARMACY 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.

• Buffalo Pharmacy Management, Inc

  • Community/Retail Pharmacy
  • Buffalo, OK
  • NPI 1073923645

  O20091016000148

  Same enrollment

Practitioners 2

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

• 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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1174710370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035528",
            "telephone_number": "580-242-3784",
            "fax_number": "580-237-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035528",
            "telephone_number": "580-242-3784",
            "fax_number": "580-237-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENID PHARMACY MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "HUENERGARDT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "580-938-2854",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "55616",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3725011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enid Medicine & Endoscopy
• Enid P T Professionals Inc
• Enid Pain & Spine LLC
• Enid Pain and Spine
• Enid Pathology Consultants Inc
• Enid Public School
• Enid Radiology PLLC
• Enid Senior Care LLC
• Enid Surgical Anesthesia LLC
• Enid Urology Associates, Inc

• Community/Retail Pharmacy in Enid, OK
• Providers in Enid, 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 Aug 19, 2013; 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.