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SALLISAWRX LLC
NPI 1326739749
Pharmacy - Community/Retail Pharmacy in Sallisaw, OK

Active since May 17, 2023
1212A E CHEROKEE AVE, SALLISAW, OK 74955(918) 775-4451(918) 775-5269 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2023, May 17, 2023 (2 updates tracked since 2023).

About Sallisawrx Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLISAWRX LLC (NPI 1326739749), doing business as Sallisaw Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Sallisaw, Oklahoma and active in the NPI registry since May 2023. The organization lists Dakota Russell Tanner, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1326739749
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSALLISAWRX LLC
Location Address1212A E CHEROKEE AVESallisaw, OK 74955-5232
Mailing Address1212a E Cherokee AveSallisaw, OK 74955-5232 · (918) 775-4451 · Fax (918) 775-5269
Phone(918) 775-4451
Fax(918) 775-5269
Organization SubpartNo
Authorized OfficialDakota Russell TannerManaging Member · (918) 775-4451
Enumeration DateMay 17, 2023
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1326739749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1212A E CHEROKEE AVE, Sallisaw, OK 74955
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Other Names 1

Doing Business AsSallisaw Pharmacy

Other Identifiers 1

Medicaid100237570AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Sallisaw Pharmacy carries, from the Medicare DMEPOS supplier directory.

Sallisaw Pharmacy

DMEPOS supplier · Sallisaw, OKOperated by Sallisawrx LLC
⋮

Does not accept Medicare assignment

Sallisaw Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)23280253
Medicare Participant SinceFebruary 6, 2024
Supplier Location1212A E Cherokee AveSallisaw, OK 74955
Phone(918) 775-4451
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALLISAW PHARMACY INC
Durable Medical Equipment & Medical Supplies
1212A E CHEROKEE AVE
SALLISAW, OK 74955
Sequoyah County (918) 775-4451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sallisawrx LLC's NPI number?

The NPI number for Sallisawrx LLC is 1326739749. It was assigned to this organization in the NPPES registry on May 17, 2023. The provider is doing business as Sallisaw Pharmacy.

Where is Sallisawrx LLC located?

Sallisawrx LLC is located at 1212A E Cherokee Ave, Sallisaw, OK 74955. The listed phone number is (918) 775-4451.

What is Sallisawrx LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Sallisawrx LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Sallisaw Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Sallisawrx LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Sallisawrx LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sallisawrx LLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.