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Oklahoma Cvs Pharmacy LLC

Pharmacy in Shawnee, OK · enumerated 2006 · authorized official Susan Colbert, Director, Payer Relations.

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

National Provider Identifier

1588768311

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Registry record

Entity type Organization (Type 2)
Legal business name Oklahoma Cvs Pharmacy LLC
Other name <Unavail>
Practice address 4500 N Kickapoo Ave, Shawnee, OK, 74804
Fax (405) 878-0432
Enumeration date Sep 12, 2006
Last updated in NPPES Jan 17, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 10-5261 (OK) Secondary
333600000X Pharmacy Suppliers · License 10-5261 (OK) Primary
3336C0003X Community/Retail Pharmacy Suppliers · License 10-5261 (OK) Secondary

Authorized official

Name Susan Colbert
Title Director, Payer Relations

Other identifiers

Identifier Type State Issuer
90003921095 Medicaid OK -
3715577 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
100239430B Other OK STATE MEDICAID DME NUMBER

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 2023-01-17. Verify at npiregistry.cms.hhs.gov.
Where is Oklahoma Cvs Pharmacy LLC located?
The practice location on file with NPPES is in Shawnee, OK.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-17.