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PRIMARY HEALTH PARNTERS
NPI 1477102580
Non-Pharmacy Dispensing Site in Moore, OK

Active since September 11, 2019CLIA 37D2173783 · Waiver
1110 MAGNOLIA COURT, MOORE, OK 73160(405) 877-3128 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primary Health Parnters NPPES

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

PRIMARY HEALTH PARNTERS (NPI 1477102580) is a healthcare organization registered as a non-pharmacy dispensing site in Moore, Oklahoma and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Angie Mckinney, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1477102580
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePHP OK PC
Location Address1110 MAGNOLIA COURTMoore, OK 73160
Mailing Address1820 Commons Cir Ste BYukon, OK 73099-9518 · (405) 265-2778
Phone(405) 877-3128
Organization SubpartYes
Authorized OfficialAngie MckinneyOperations Manager · (405) 577-6571
Enumeration DateSeptember 11, 2019
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1477102580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1110 MAGNOLIA COURT, Moore, OK 73160
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Other Names 1

Doing Business AsPrimary Health Parnters

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2173783

Primary Health Partners-Moore · Moore, OK
Active · expires Oct 17, 2027
CLIA Number37D2173783
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorRaymond L. Wall
Laboratory Phone(405) 877-3128
Laboratory LocationPrimary Health Partners-Moore1110 Magnolia Court, Moore, OK 73160
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Php Ok PC's NPI number?

The NPI number for Php Ok PC is 1477102580. It was assigned to this organization in the NPPES registry on September 11, 2019. The provider is doing business as Primary Health Parnters.

Where is Php Ok PC located?

Php Ok PC is located at 1110 Magnolia Court, Moore, OK 73160. The listed phone number is (405) 877-3128.

What is Php Ok PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Php Ok PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2173783) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Php Ok PC was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.