NPIMap

Organization Active NPI

Beaver County Memorial Hospital

Doing business as Community Pharmacy (LTC)

  • Long Term Care Pharmacy
  • Beaver, OK
National Provider Identifier
1376389841
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BEAVER COUNTY MEMORIAL HOSPITAL
Doing business as
Community Pharmacy (LTC)
Practice address
212 E 8TH St
Beaver, OK 73932-3184
Phone
(580) 625-3646
Fax
(580) 625-3844
NPI assigned
Jul 3, 2024
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Alissa Schlessman
Title
Pic
Phone
(580) 625-4551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

212 E 8TH St
Beaver, OK 73932-3184

Mailing address

PO Box 640
Beaver, OK 73932-0640
Phone (580) 625-3646

Other names 1

  • COMMUNITY PHARMACY (LTC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaver County Mem Hosp PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1376389841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739320640",
            "telephone_number": "580-625-3646",
            "fax_number": "580-625-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 8TH ST",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739323184",
            "telephone_number": "580-625-3646",
            "fax_number": "580-625-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SCHLESSMAN",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "580-625-4551"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY PHARMACY (LTC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.