Edrei, LLC.
Edrei, LLC. is a healthcare organization registered as Community/Retail Pharmacy in Stillwater, OK, holding Type 2 (organization) NPI 1053418996 since 2006. The authorized official on file is Lisa Hladik, Member/Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053418996 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Edrei, LLC. |
| Other name | <Unavail> |
| Practice address | 1721 W 6TH AVE, Stillwater, OK, 74074 |
| Phone | 4053723331 |
| Fax | 4053723547 |
| Enumeration date | 2006-09-20 |
| Last updated in NPPES | 2021-12-02 |
Authorized official
| Name | Lisa Hladik |
|---|---|
| Title | Member/Manager |
| Phone | 4053723331 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 83581 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2074050 | Other | — | PK |
| 200725050A | Medicaid | OK | — |
Copy-ready billing details
Provider: Edrei, LLC. NPI: 1053418996 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1721 W 6TH AVE, Stillwater, OK, 74074
Verify this record
Cross-check NPI 1053418996 against the authoritative CMS record: view Edrei, LLC. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Edrei, LLC.?
Who is the authorized official for Edrei, LLC.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-12-02.