Mission Hospice LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

15156 Issued in OK

Legal business name

MISSION HOSPICE LLC

Doing business as

Pieta Pharmacy

Practice address

1608 NW Expressway St
Ste B
Oklahoma City, OK 73118-1402

Phone

(405) 841-3841

Fax

(405) 841-3843

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Deanne Jacobs, DPH

Title

Pharmacist Manager

Phone

(405) 841-3841

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PIETA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306867379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 NW EXPRESSWAY ST",
            "address_2": "STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 NW EXPRESSWAY ST",
            "address_2": "STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181402",
            "telephone_number": "405-841-3841",
            "fax_number": "405-841-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "405-841-3841",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "OK",
            "license": "15156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3721013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIETA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Misner, BCBA
• Joseph Wayne Misner
• Logan Misner
• Maleia Christine Misner
• Jarod Missey, CRNA
• Mission Treatment Centers, Inc.
• Mission Treatment Centers, Inc.
• Mission Treatment Centers, Inc.
• Holly Michelle Mistler, L.D.
• Amit M Mistry, M.D.

• Specialty Pharmacy in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialty Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.