Central Oklahoma Family Medical Center, Inc.
Organization
Active NPI
Community/Retail Pharmacy · Ada, OK
NPI 1962509802 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1962509802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 23-6131 (OK)
- Legal business name
- CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
- Practice address
- 1131 Arlington St
Ada, OK 74820-4038
- Phone
- (580) 332-5720
- Fax
- (580) 332-5724
- NPI assigned
- Sep 20, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
Authorized official
- Name
- Brenda Ware
- Title
- Ceo
- Phone
- (580) 436-5111
Corporate family (same tax ID) 30
Organizations that report the same tax identification number in the National Provider Directory.
-
Central Ok Family Med Ctr Mental Health Clinic/Center (Including Community Mental Health Center) · Noble, OK · NPI 1194937904
-
Central Ok Family Med Ctr Mental Health Clinic/Center (Including Community Mental Health Center) · Konawa, OK · NPI 1649485996
-
Central Ok Family Med Ctr Mental Health Clinic/Center (Including Community Mental Health Center) · Prague, OK · NPI 1720290539
-
Central Oklahoma Family Medical Center Clinic Pharmacy · Seminole, OK · NPI 1205540101
-
Central Oklahoma Family Medical Center Emotionally Disturbed Childrens' Residential Treatment Facility · Konawa, OK · NPI 1215196340
-
Central Oklahoma Family Medical Center Federally Qualified Health Center (FQHC) · Konawa, OK · NPI 1306973094
-
Central Oklahoma Family Medical Center Registered Nurse · Konawa, OK · NPI 1407015530
-
Central Oklahoma Family Medical Center Mental Health Clinic/Center (Including Community Mental Health Center) · Prague, OK · NPI 1598911752
-
Central Oklahoma Family Medical Center Case Management Agency · Konawa, OK · NPI 1659530780
-
Central Oklahoma Family Medical Center Respite Care · Konawa, OK · NPI 1730347329
-
Central Oklahoma Family Medical Center Developmentally Disabled Services Day Training Agency · Konawa, OK · NPI 1952569808
-
Central Oklahoma Family Medical Center Inc Federally Qualified Health Center (FQHC) · Ada, OK · NPI 1023868528
-
Central Oklahoma Family Medical Center Inc Federally Qualified Health Center (FQHC) · Stratford, OK · NPI 1215855614
-
Central Oklahoma Family Medical Center Inc Federally Qualified Health Center (FQHC) · Ada, OK · NPI 1295500429
-
Central Oklahoma Family Medical Center Inc Federally Qualified Health Center (FQHC) · Ada, OK · NPI 1306764790
-
Central Oklahoma Family Medical Center Inc Federally Qualified Health Center (FQHC) · Ada, OK · NPI 1316608938
-
Central Oklahoma Family Medical Center Inc Federally Qualified Health Center (FQHC) · Seminole, OK · NPI 1710629456
-
Central Oklahoma Family Medical Center Inc Federally Qualified Health Center (FQHC) · Ada, OK · NPI 1770399008
-
Central Oklahoma Family Medical Center Inc Federally Qualified Health Center (FQHC) · Ada, OK · NPI 1801714209
-
Central Oklahoma Family Medical Center Inc Federally Qualified Health Center (FQHC) · Ada, OK · NPI 1922769579
-
Central Oklahoma Family Medical Center Inc Federally Qualified Health Center (FQHC) · Holdenville, OK · NPI 1952236648
-
-
Central Oklahoma Family Medical Center, Inc Federally Qualified Health Center (FQHC) · Ada, OK · NPI 1003760505
-
Central Oklahoma Family Medical Center, Inc Federally Qualified Health Center (FQHC) · Ada, OK · NPI 1144997693
-
Central Oklahoma Family Medical Center, Inc Federally Qualified Health Center (FQHC) · Stratford, OK · NPI 1184286726
View all 30
National Provider Directory
- Tax ID family
- Central Ok Family Med Ctr (31 organizations share this tax ID)
- Part of
- Central Ok Family Med Ctr
Locations
1414 Arlington St
Ste 2000
Ada, OK 74820
Phone (580) 279-6901
1131 Arlington St
Ada, OK 74820
Phone (580) 332-5720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Pharmacy |
333600000X |
|
|
|
| Community/Retail Pharmacy |
3336C0003X |
23-6131 |
OK |
Yes |
| Compounding Pharmacy |
3336C0004X |
|
|
|
| Long Term Care Pharmacy |
3336L0003X |
|
|
|
Addresses
Primary practice location
1131 Arlington St
Ada, OK 74820-4038
Mailing address
1131 Arlington St
Ada, OK 74820-4038
Phone (580) 332-5720
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 2138726 | Other | | PK |
| 23-9228 | Other | OK | LICENSE |
| 100234590A | Medicaid | OK | |
Other names
- THE CLINIC PHARMACY ON ARLINGTON Doing business as
- Tradition Drug Doing business as
Other providers in Ada, OK
- Central Oklahoma Family Medical Center, Inc
- Central Oklahoma Family Medical Center, Inc
- Central Oklahoma Family Medical Center, Inc.
- Central Oklahoma Family Medical Center, Inc.
- Central Oklahoma Family Medical Center, Inc.
- Central Oklahoma Family Medical Center, Inc.
- Sherri R Chandler, MS
- Toni Chappell, B.A.
- Dan Charboneau, PHYSICAL THERAPIST
- Roger John Charboneau, D.O.
All providers in Ada, OK
· Community/Retail Pharmacy in Oklahoma