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Lookup NPI Numbers from the NPI Registry

Contact Information

KINGFISHER PHARMACY MANAGEMENT PLLC
119 W ADMIRE AVE
KINGFISHER, OK73750-2609
 Phone: 405-375-3202
 Fax: 405-375-6739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KINGFISHER PHARMACY MANAGEMENT PLLC

NPI # 1174827273
LBN Legal business name KINGFISHER PHARMACY MANAGEMENT PLLC
Authorized official GREGORY HUENERGARDT - (MEMBER MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2011
Last updated 01/20/2015 - About 11 years ago
Identifiers
OK License # 54-5617
OK Medicaid 200323020A
Other 2128250 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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