OrganizationActive
Boulevard Pharmacy Inc
NPI 1588733869 · Durable Medical Equipment & Medical Supplies · Bartlesville, OK
Provider details
- NPI number
- 1588733869
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Kirk Deshazo, President/Owner(918) 336-2388
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1117 Se Frank Phillips Blvd
Bartlesville, OK 74003-4319
Phone: (918) 336-2388
Fax: (918) 336-0016
Street-level locationGet directions
Mailing address
1117 Se Frank Phillips Blvd
Bartlesville, OK 74003-4319
Other names (DBA / former)
- Doing business as
- Boulevard Homecare Center
- Doing business as
- Boulevard Homecare Center
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2021-12-08
- Certified
- 2021-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.