Active NPI
Health Center Pharmacy of Claremore Inc
- Community/Retail Pharmacy
- Claremore, OK
National Provider Identifier
1720001720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 294542
- Legal business name
- HEALTH CENTER PHARMACY OF CLAREMORE INC
- Practice address
- 113 E Blue Starr Drive
Claremore, OK 74017 - Phone
- (918) 341-1236
- Fax
- (918) 341-2070
- NPI assigned
- Jul 25, 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
- Mike Miller
- Title
- President
- Phone
- (918) 341-1236
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 294542 | OK | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
113 E Blue Starr Drive
Claremore, OK 74017
Mailing address
113 E Blue Starr Drive
Claremore, OK 74017
Phone (918) 341-1236
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100246910A | Medicaid | OK | |
| 2081530 | Other | PK | |
| 100246910B | Medicaid | OK |
Other names 1
- HEALTH CENTER PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383696000000",
"number": "1720001720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 E BLUE STARR DRIVE",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "74017",
"telephone_number": "918-341-1236",
"fax_number": "918-341-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E BLUE STARR DRIVE",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "74017",
"telephone_number": "918-341-1236",
"fax_number": "918-341-2070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH CENTER PHARMACY OF CLAREMORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2013-11-06",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-341-1236"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "294542",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100246910A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2081530",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100246910B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEALTH CENTER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.