Matt Ennis Llc
Community/Retail Pharmacy
5420 N Portland Ave, Oklahoma City
Oklahoma, 73112-2072
405-947-6828 405-946-3346
Matt Ennis Llc is a Community/Retail Pharmacy in Oklahoma City, Oklahoma. It is located at 5420 N Portland Ave, Oklahoma City and it's customer support contact number is 405-947-6828. The authorized person of Matt Ennis Llc is Sean Ennis who is Owner/manager of the pharmacy and his contact number is 405-947-6828.
Matt Ennis Llc 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:
Matt Ennis Llc 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: | Matt Ennis Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 5420 N Portland Ave, Oklahoma City,
Oklahoma, 73112-2072 |
| Phone: | 405-947-6828 |
| Fax: | 405-946-3346 |
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: | Sean Ennis |
| Position: | Owner/manager |
| Contact Number: | 405-947-6828 |
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: | 1326458563 |
| NPI Enumeration Date: | 28 Apr, 2014 |
| NPI Last Update On: | 24 May, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matt Ennis Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Pharmacy | | | Secondary | |
| Compounding 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 |
| 200536450A | Medicaid | Oklahoma | |
| 2145853 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5420 N Portland Ave,
Oklahoma City, Oklahoma |
| Zip: | 73112-2072 |
| Phone Number: | 405-947-6828 |
| Fax Number: | 405-946-3346 |
Patients can reach Matt Ennis Llc at
5420 N Portland Ave, Oklahoma City, Oklahoma or can
call on customer care at 405-947-6828.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.