Nw Coweta LLC
NPI 1588112064ActiveOrganization· Pharmacy· Coweta, OK
Pharmacy in Coweta, Oklahoma, registered in NPPES in September 2016. The authorized official on file is Umar Farooq, President. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1588112064 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2016 |
| Last updated in NPPES | Nov 18, 2025 |
| Certified by provider | Nov 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 38-7749 | OK |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (OK) |
|---|
Other Pharmacy providers in Coweta
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