Qualgen, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

QUALGEN, LLC

Practice address

2217 S Fretz Ave Ste 120
Edmond, OK 73013-3851

Phone

(140) 551-8216

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Shaun Riney

Title

Ceo

Phone

(405) 818-9029

Specialties & licenses 2

Addresses

Tax ID family

Qualgen LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Qualgen, LLC

  • Compounding Pharmacy
  • Edmond, OK
  • NPI 1194463018
  NPD tax ID

Locations

Practitioners 1

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

• Jon Cris Hickerson

  • Pharmacist
  • Edmond, OK
  • NPI 1275409674
  NPD

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1669125829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ENTERPRISE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133918",
            "telephone_number": "140-551-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 S FRETZ AVE STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133851",
            "telephone_number": "140-551-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALGEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "RINEY",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-818-9029",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Qualgen, LLC
• Quality Sleep Specialists, LLC
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• Quality Sleep Specialists, LLC
• Christy Qualls
• Jessica Qualls, MSN, APRN, FNP-C

• Compounding Pharmacy in Edmond, OK
• Providers in Edmond, OK by specialty
• Compounding Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.