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Boulevard Pharmacy Inc

Durable Medical Equipment & Medical Supplies in Bartlesville, OK · enumerated 2006 · authorized official Kirk Deshazo, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588733869

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Registry record

Entity type Organization (Type 2)
Legal business name Boulevard Pharmacy Inc
Other name <Unavail>
Practice address 1117 Se Frank Phillips Blvd, Bartlesville, OK, 74003
Phone (918) 336-2388
Fax (918) 336-0016
Enumeration date Nov 8, 2006
Last updated in NPPES Dec 8, 2021

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Kirk Deshazo
Title President/Owner
Phone (918) 336-2388

Other identifiers

Identifier Type State Issuer
100232160B Medicaid OK -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-12-08. Verify at npiregistry.cms.hhs.gov.
Where is Boulevard Pharmacy Inc located?
The practice location on file with NPPES is in Bartlesville, OK.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-08.