Oklahoma Cvs Pharmacy LLC
Oklahoma Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Moore, OK, holding Type 2 (organization) NPI 1689778417 since 2006. The authorized official on file is Susan Colbert, Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689778417 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Oklahoma Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 800 SE 4TH ST, Moore, OK, 73160 |
| Phone | 4057941539 |
| Fax | 4057945804 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2014-11-07 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | OK |
| 333600000X | Pharmacy | Primary | 7-5385 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90003916640 | Medicaid | OK | — |
| 3712836 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Oklahoma Cvs Pharmacy LLC NPI: 1689778417 Taxonomy: 333600000X (Pharmacy) Address: 800 SE 4TH ST, Moore, OK, 73160
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336652437 | James Nguyen | Individual | Pharmacist | Moore, OK |
| 1427561471 | Justin Feese | Individual | Pharmacist | Moore, OK |
| 1770194342 | David Smith | Individual | Pharmacist | Moore, OK |
| 1700505690 | Abdul-Rahman Al-Jarrah | Individual | Pharmacist | Moore, OK |
| 1134846371 | Dallas Nimsey | Individual | Pharmacist | Moore, OK |
Verify this record
Cross-check NPI 1689778417 against the authoritative CMS record: view Oklahoma Cvs Pharmacy 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
Who is the authorized official for Oklahoma Cvs Pharmacy LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-11-07.