Integris Pharmacy 4190 is an authorized DME supplier for medicare equipments and products.
Integris Pharmacy 4190 is a Community/Retail Pharmacy in Oklahoma City, Oklahoma. This pharmacy is owned and operated by Integris Prohealth Inc. It is located at 3433 Nw 56th St, Ste 140b, Oklahoma City and it's customer support contact number is 405-945-4400. The authorized person of Integris Pharmacy 4190 is Joel Lane, RPH who is Director Of Pharmacy of the pharmacy and his contact number is 405-949-3120. Active license number of Integris Pharmacy 4190 is 1-6901 for Community/Retail Pharmacy in Oklahoma. Integris Pharmacy 4190 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Integris Pharmacy 4190 is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Integris Pharmacy 4190 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Integris Pharmacy 4190
Type:
Community/Retail Pharmacy
Location:
3433 Nw 56th St, Ste 140b, Oklahoma City, Oklahoma, 73112-4455
Phone:
405-945-4400
Fax:
405-945-4407
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Joel Lane
Credentials:
RPH
Position:
Director Of Pharmacy
Contact Number:
405-949-3120
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1255497525
NPI Enumeration Date:
29 Dec, 2006
NPI Last Update On:
30 Mar, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Integris Pharmacy 4190 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1-6901
Oklahoma
Primary
Pharmacy
Secondary
Specialty Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100239970B
Medicaid
Oklahoma
100239970A
Medicaid
Oklahoma
2074201
Other
Pk
Medicare Enrollment:
Integris Pharmacy 4190 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
5092792127
O20100930090225
Integris Prohealth Inc
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3435 Nw 56th St Ste 301a, 301-a Oklahoma City, Oklahoma
Zip:
73112-4448
Phone Number:
405-949-3120
Fax Number:
405-815-6445
Patients can reach Integris Pharmacy 4190 at 3433 Nw 56th St, Ste 140b, Oklahoma City, Oklahoma or can call on customer care at 405-945-4400.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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