| NPI | 1093911604 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-06-21 |
| Last Updated | 2015-01-26 |
| Authorized Official | Ernie Sykora OWNER Phone: 9186827085 |
| Mailing Address | 410 S 32nd St Muskogee, OK 74401-5007 United States Phone: (918) 683-0611 | Fax: (918) 683-0620 📍 View Map |
| Primary Practice Address | 410 S 32nd St Muskogee, OK 74401-5007 United States Phone: (918) 683-0611 | Fax: (918) 683-0620 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 200198680A | — |
| Other (non-Medicare) | — | 2077137 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | — | — |
| No | 3336C0004X – Pharmacy, Compounding Pharmacy | — | — |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | OK | 45188 |
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About NPI 1093911604
Ernies Pharmacy & Wellness Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1093911604. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Muskogee, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-06-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093911604?
NPI 1093911604 belongs to Ernies Pharmacy & Wellness Center, a Pharmacy, Community/Retail Pharmacy in Muskogee, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093911604 active?
The current status of NPI 1093911604 in the NPPES registry is Active. The record was last updated on 2015-01-26.
What specialty is NPI 1093911604?
NPI 1093911604 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093911604?
You can verify NPI 1093911604 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093911604?
The primary practice address on file for NPI 1093911604 is 410 S 32nd St, Muskogee, OK 74401-5007. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093911604 issued?
NPI 1093911604 was first issued (enumerated) on 2007-06-21. The NPPES record was last updated on 2015-01-26.
Practice Location Map
Ernies Pharmacy & Wellness Center is located at 410 S 32nd St, Muskogee, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ernies Pharmacy & Wellness Center. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093911604. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 45188 | OK |