Stanbro Healthcare Group LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17167 Issued in OK

Legal business name

STANBRO HEALTHCARE GROUP LLC

Practice address

2000 E 15TH St
Suite 400C
Edmond, OK 73013-6697

Phone

(405) 562-6434

Fax

(405) 285-6121

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Tammie Miskimins

Title

MGR., Licensing & Third Party

Phone

(817) 572-0009

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Turtlecreek Pharmacy Doing business as

Locations

Practitioners 1

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

• Peter B Stanbro, M.D., M.P.H

  • Child & Adolescent Psychiatry Physician
  • Edmond, OK
  • NPI 1659339224
  NPD

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1962895631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W NORTHWEST HWY",
            "address_2": "STE. 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513177",
            "telephone_number": "817-572-0009",
            "fax_number": "817-720-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST",
            "address_2": "SUITE 400C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136697",
            "telephone_number": "405-562-6434",
            "fax_number": "405-285-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANBRO HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "MISKIMINS",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "MGR., LICENSING & THIRD PARTY",
        "authorized_official_telephone_number": "817-572-0009"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "17167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Turtlecreek Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Jean Saxon Stafford, BCBA
• Skyler Christine Stagner
• Micah Jo Stall
• James L Stammer, M.D.
• Stanbro Healthcare Group LLC
• Peter B Stanbro, M.D., M.P.H
• Malinda Rachele Standley
• Stanley a Horst MD PC
• Aubrey Stanley, PTA
• Tyrone Stanley, M.A.

• Community/Retail Pharmacy in Edmond, OK
• Providers in Edmond, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.