Active NPI
Steinheil Pharmacy Services, LLC
- Community/Retail Pharmacy
- Wagoner, OK
National Provider Identifier
1396753786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 387589
- Legal business name
- STEINHEIL PHARMACY SERVICES, LLC
- Practice address
- 418 W Cherokee St
Wagoner, OK 74467-4608 - Phone
- (918) 485-2722
- Fax
- (918) 485-1702
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard N Steinheil
- Title
- President
- Phone
- (918) 485-2722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 387589 | OK | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
418 W Cherokee St
Wagoner, OK 74467-4608
Mailing address
418 W Cherokee St
Wagoner, OK 74467-4608
Phone (918) 485-2722
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2129989 | Other | PK | |
| 200072390A | Medicaid | OK | |
| 200072390B | Medicaid | OK | |
| 200072390C | Medicaid | OK |
Other names 1
- Owl Drug and The Gift House
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250610003342 | OK | Part B Supplier - Pharmacy | 2961830138 | Practice locations: Wagoner, OK |
National Provider Directory
National Provider DirectoryLocations
115 S Main St
Wagoner, OK 74467
Phone (918) 485-2722
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Sulphur Springs, TX
- NPI 1326279563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556064000000",
"number": "1396753786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 W CHEROKEE ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674608",
"telephone_number": "918-485-2722",
"fax_number": "918-485-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 W CHEROKEE ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674608",
"telephone_number": "918-485-2722",
"fax_number": "918-485-1702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEINHEIL PHARMACY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2019-04-24",
"status": "A",
"authorized_official_last_name": "STEINHEIL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-485-2722"
},
"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": "387589",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2129989",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200072390A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200072390B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200072390C",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Owl Drug and The Gift House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.