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INTEGRIS PROHEALTH INC
NPI 1629769393
Pharmacy - Community/Retail Pharmacy in Grove, OK

Active since May 15, 2023
601 E 13TH ST STE B, GROVE, OK 74344(405) 949-3120(405) 815-6445 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 6, 2025, Aug 21, 2024, Apr 4, 2024 and 1 more (4 updates tracked since 2023).

About Integris Prohealth Inc NPPES

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

INTEGRIS PROHEALTH INC (NPI 1629769393), doing business as Integris Pharmacy 4175, is a healthcare organization registered as a community/retail pharmacy in Grove, Oklahoma and active in the NPI registry since May 2023. The organization lists Michael L Weed, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1629769393
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameINTEGRIS PROHEALTH INC
Location Address601 E 13TH ST STE BGrove, OK 74344-2962
Mailing Address3435 Nw 56th St Ste 301aOklahoma City, OK 73112-4428 · (405) 713-7407 · Fax (405) 815-6445
Phone(405) 949-3120
Fax(405) 815-6445
Organization SubpartNo
Authorized OfficialMichael L WeedTreasurer · (405) 951-2737
Enumeration DateMay 15, 2023
Last NPPES UpdateNovember 6, 20254 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1629769393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
601 E 13TH ST STE B, Grove, OK 74344
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Other Names 1

Doing Business AsIntegris Pharmacy 4175

Other Identifiers 1

Medicaid100791460BOK

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 ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
34 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services34 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Integris Pharmacy 4175 carries, from the Medicare DMEPOS supplier directory.

Integris Pharmacy 4175

DMEPOS supplier · Grove, OKOperated by Integris Prohealth Inc
✔

Accepts Medicare assignment

Integris Pharmacy 4175 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20485985
Medicare Participant SinceJanuary 1, 2015
Supplier Location601 E 13th St Ste BGrove, OK 74344
Phone(405) 949-3120
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
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.

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 Integris Prohealth Inc's NPI number?

The NPI number for Integris Prohealth Inc is 1629769393. It was assigned to this organization in the NPPES registry on May 15, 2023. The provider is doing business as INTEGRIS Pharmacy 4175.

Where is Integris Prohealth Inc located?

Integris Prohealth Inc is located at 601 E 13th St Ste B, Grove, OK 74344. The listed phone number is (405) 949-3120.

What is Integris Prohealth Inc's specialty?

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

Does Integris Prohealth Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Integris Pharmacy 4175 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Integris Prohealth Inc 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 48 other insurers list Integris Prohealth Inc 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 Integris Prohealth Inc was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.