Organization Active NPI

Saffa Healthmart Pharmacy Inc

  • Community/Retail Pharmacy
  • Tulsa, OK
National Provider Identifier
1598766263
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24513 Issued in OK
Legal business name
SAFFA HEALTHMART PHARMACY INC
Practice address
8002 S Sheridan Rd
Tulsa, OK 74133-8945
Phone
(918) 492-4242
Fax
(918) 493-5790
NPI assigned
Aug 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Debra L WellsNPI 1205962479
Title
Store Manager
Phone
(918) 492-4242

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 24513 OK Primary
Compounding Pharmacy 3336C0004X 24513 OK

Addresses

Primary practice location

8002 S Sheridan Rd
Tulsa, OK 74133-8945

Mailing address

8002 S Sheridan Rd
Tulsa, OK 74133-8945
Phone (918) 492-4242

Other identifiers 1

IdentifierTypeStateIssuer
100238400AMedicaidOK

National Provider Directory

National Provider Directory

Locations

8002 S Sheridan Rd
Tulsa, OK 74133
Phone (918) 492-4242

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1598766263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741338945",
            "telephone_number": "918-492-4242",
            "fax_number": "918-493-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741338945",
            "telephone_number": "918-492-4242",
            "fax_number": "918-493-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFFA HEALTHMART PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "918-492-4242"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "24513",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OK",
            "license": "24513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.