Organization
ENID PHARMACY MANAGEMENT INC
Active
Other names
MEDIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY S HUENERGARDT DPH (CO OWNER)
(580) 938-2854
Entity
Organization
Contact information
Practice address
1925 W OWEN K GARRIOTT RD, ENID, OK 73703-5528
(580) 242-3784
(580) 237-4199
Mailing address
1925 W OWEN K GARRIOTT RD, ENID, OK 73703-5528
(580) 242-3784
(580) 237-4199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55616
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3725011
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/02/2007
Last updated
08/19/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up