HARRAH PHARMACY INC. — NPI 1023042314 (Licensed & Credentialed Pharmacist, Nutrition Support in HARRAH, OK)

CMS-1500 Box 24J / 33a • NPI

1023042314

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

1835N1003X

Licensed & Credentialed Pharmacist, Nutrition Support

Box 32 Service Location & ZIP+4

2060 N CHURCH AVE, HARRAH, OK, 73045-0247

✓ 9-Digit EDI 837 ZIP+4 (73045-0247)

Practice Phone & Referral Fax

(405) 454-2476

Fax: (405) 454-3507

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1023042314 (HARRAH PHARMACY INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1023042314` (NPI-2 Organization / Facility)
Provider / Legal Name	HARRAH PHARMACY INC.
Plain-English Specialty	Licensed & Credentialed Pharmacist, Nutrition Support NUCC Code: `1835N1003X` (Pharmacist, Nutrition Support)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2060 N CHURCH AVE, HARRAH, OK, 73045-0247
Practice Telephone / Fax	Tel: (405) 454-2476 \| Fax: (405) 454-3507
Administrative Mailing Address	PO BOX 247, HARRAH, OK, 73045-0247
Enumeration & Last Sync	Enumerated: 2006-07-10 \| CMS Record Updated: 2025-09-11
Authorized Official	AMOS MALONE (Pharmacist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2060 N CHURCH AVE, HARRAH, OK, 73045-0247

🗺️ Open in Google Maps 🏥 More Providers in HARRAH

🔒 Are you HARRAH PHARMACY INC.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (1835N1003X)

What Does Taxonomy Code 1835N1003X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835N1003X translates to:
"Licensed & Credentialed Pharmacist, Nutrition Support"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist, Nutrition Support for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HARRAH PHARMACY INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`183500000X` — Pharmacist Plain English: Licensed & Credentialed Pharmacist	State: OK \| License: `8116` \| Primary: Secondary
`1835N1003X` — Pharmacist, Nutrition Support Plain English: Licensed & Credentialed Pharmacist, Nutrition Support	State: TX \| License: `3739` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

HARRAH PHARMACY INC. (NPI #1023042314)