Dr Maverick Ray Henneke, PHARMD is a
Pharmacist based in Newkirk, Oklahoma. Dr Maverick Ray Henneke is licensed to practice in Oklahoma (license number 20589) and his current practice location is
716 S Highway 77 Ste A, Newkirk, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 362-2556.
NPI number for Dr Maverick Ray Henneke is 1225853187 and his current mailing address is 717 N Ash St, Ponca City, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225853187.
Healthcare Provider's Profile
| Full Name | Dr Maverick Ray Henneke |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 716 S Highway 77 Ste A, Newkirk, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225853187
- Provider Enumeration Date: 11/16/2024
- Last Update Date: 11/16/2024
Medical Identifiers
Medical identifiers for Dr Maverick Ray Henneke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225853187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 20589 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maverick Ray Henneke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Maverick Ray Henneke, PHARMD
717 N Ash St,
Ponca City, OK 74601-3102
Ph: () - | Dr Maverick Ray Henneke, PHARMD
716 S Highway 77 Ste A,
Newkirk, OK 74647-7009
Ph: (580) 362-2556 |
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