GOOD SHEPHERD COMMUNITY CLINIC, INC. – NPI #1316529803
Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Health Care Provider Taxonomy Code for Pharmacy

GOOD SHEPHERD COMMUNITY CLINIC, INC. is a pharmacy located in ARDMORE, OK. NPPES has assigned the NPI number 1316529803 to GOOD SHEPHERD COMMUNITY CLINIC, INC. on April 23, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOOD SHEPHERD COMMUNITY CLINIC, INC. below.

NPI Profile for
GOOD SHEPHERD COMMUNITY CLINIC, INC.

NPI Number
1316529803
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOOD SHEPHERD COMMUNITY CLINIC, INC.
Primary location
1104 WALNUT DR W
ARDMORE, OK 73401
Phone: (580) 226-0543 Fax:
Mailing address
20 12TH AVE NW
ARDMORE, OK 73401-5722
Phone: (580) 826-3575 Fax: (580) 223-5113
Organization Subpart
Yes - GOOD SHEPHERD COMMUNITY CLINIC, INC. is subpart of another organization.
Authorized Official
TERESA MYERS
CEO
Phone: (580) 223-3411
Updated
Certification Date
Mar 30, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GOOD SHEPHERD COMMUNITY CLINIC, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPHARMACY LICENSEOK12-8917
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.