NPIMap

Organization Active NPI

Integris Prohealth Inc

Doing business as Integris Pharmacy 4191

  • Community/Retail Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1598560591
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
INTEGRIS PROHEALTH INC
Doing business as
Integris Pharmacy 4191
Practice address
10029 N Oklahoma Ave Ste 101
Oklahoma City, OK 73114-7453
Phone
(405) 601-6310
Fax
(405) 815-6445
NPI assigned
Feb 14, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Michael L Weed
Title
Treasurer
Phone
(405) 951-2737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

10029 N Oklahoma Ave Ste 101
Oklahoma City, OK 73114-7453

Mailing address

3435 NW 56TH St Ste 301a
Oklahoma City, OK 73112-4428
Phone (405) 713-7407

Other names 1

  • INTEGRIS PHARMACY 4191 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150903002048 OK Part B Supplier - Mass Immunization (Roster Biller Only) 5092792127 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Edmond, OK; Enid, OK; Grove, OK; Oklahoma City, OK; Yukon, OK
O20250830000385 OK DME Supplier - Pharmacy 5092792127 Practice locations: Oklahoma City, OK

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Integris Pharmacy 419110029 N Oklahoma Ave, Oklahoma City, OK 73114-7453(405) 601-6310 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory
Tax ID family
Integris Imaging6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 19

Organizations listed as members of this organization in the National Provider Directory.

View all 19

Locations

4833 Integris Pkwy
#4187
Edmond, OK 73034
Phone (405) 657-3900

600 S Monroe St
Ste 1A
Enid, OK 73701
Phone (580) 213-3442

601 E 13th St
Ste B
Grove, OK 74344
Phone (405) 949-3120

700 24th Ave NW
Ste 102
Norman, OK 73069
Phone (405) 573-5479

10029 N Oklahoma Ave
Ste 101
Oklahoma City, OK 73114
Phone (405) 601-6310

1205 Health Center Pkwy
#4174
Yukon, OK 73099
Phone (405) 717-5330

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1598560591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH ST STE 301A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124428",
            "telephone_number": "405-713-7407",
            "fax_number": "405-815-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10029 N OKLAHOMA AVE STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147453",
            "telephone_number": "405-601-6310",
            "fax_number": "405-815-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS PROHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "WEED",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "405-951-2737"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS PHARMACY 4191",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INTEGRIS PHARMACY 4191",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.