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SUPER H PHARMACY
NPI 1720171168
Pharmacy - Community/Retail Pharmacy in Bristow, OK

Active since September 30, 2006CLIA 37D2201312 · Waiver
201 E 7TH AVE, BRISTOW, OK 74010(918) 367-3328(918) 367-2415 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Super H Pharmacy NPPES

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

SUPER H PHARMACY (NPI 1720171168) is a healthcare organization registered as a community/retail pharmacy in Bristow, Oklahoma and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Matthew Fin, Officer, as its authorized official.

NPPES Registry Identity

NPI1720171168
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMOLOGY BRISTOW LLC
Location Address201 E 7TH AVEBristow, OK 74010-2503
Mailing Address201 E 7th AveBristow, OK 74010-2503 · (918) 367-3328 · Fax (918) 367-2415
Phone(918) 367-3328
Fax(918) 367-2415
Organization SubpartNo
Authorized OfficialMatthew FinOfficer · (469) 261-3048
Enumeration DateSeptember 30, 2006
Last NPPES UpdateSeptember 19, 2018
✔ NPI 1720171168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OK · 11-5374
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 ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
201 E 7TH AVE, Bristow, OK 74010
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Other Names 1

Doing Business AsSuper H Pharmacy

Other Identifiers 2

Medicaid100236210AOK
Other2073744Pk

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 ›

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 37D2201312

Super H Pharmacy · Bristow, OK
Active · expires Nov 18, 2026
CLIA Number37D2201312
Laboratory TypePharmacy
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorVan E. Hodges
Laboratory Phone(918) 369-3328
Laboratory LocationSuper H Pharmacy201 E 7th St, Bristow, OK 74010
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
28 services28 patients
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.
25 services25 patients

Other Providers at the Same Location NPPES 2

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

DR. LETHA VIRGINIA RAY D.PH.
Pharmacist
201 E 7TH AVE
BRISTOW, OK 74010
Creek County (918) 367-3328
VAN HODGES PHARMD
Pharmacist
201 E 7TH AVE
BRISTOW, OK 74010
Creek County (918) 367-3328

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 Pharmology Bristow LLC's NPI number?

The NPI number for Pharmology Bristow LLC is 1720171168. It was assigned to this organization in the NPPES registry on September 30, 2006. The provider is doing business as Super H Pharmacy.

Where is Pharmology Bristow LLC located?

Pharmology Bristow LLC is located at 201 E 7th Ave, Bristow, OK 74010. The listed phone number is (918) 367-3328.

What is Pharmology Bristow LLC's specialty?

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

Does Pharmology Bristow LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2201312) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pharmology Bristow 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 51 other insurers list Pharmology Bristow 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 Pharmology Bristow LLC was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.