Provider Demographics
NPI:1851952683
Name:NEXT PLAN, LLC
Entity Type:Organization
Organization Name:NEXT PLAN, LLC
Other - Org Name:CRESCENT CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:CHAPDELAINE
Authorized Official - Last Name:MALOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-969-3518
Mailing Address - Street 1:101 N GRAND (PO BOX 513)
Mailing Address - Street 2:
Mailing Address - City:CRESCENT
Mailing Address - State:OK
Mailing Address - Zip Code:73028
Mailing Address - Country:US
Mailing Address - Phone:405-969-3518
Mailing Address - Fax:405-969-2208
Practice Address - Street 1:101 N GRAND
Practice Address - Street 2:
Practice Address - City:CRESCENT
Practice Address - State:OK
Practice Address - Zip Code:73028
Practice Address - Country:US
Practice Address - Phone:405-969-3518
Practice Address - Fax:405-969-2208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200859100AMedicaid