Healthcare Provider Details

I. General information

NPI: 1326913013
Provider Name (Legal Business Name): MED ONE STOP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 N SHARTEL AVE STE 100
OKLAHOMA CITY OK
73103-2425
US

IV. Provider business mailing address

1211 N SHARTEL AVE STE 100
OKLAHOMA CITY OK
73103-2425
US

V. Phone/Fax

Practice location:
  • Phone: 405-724-9627
  • Fax: 405-724-6458
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DANIEL HAYEK
Title or Position: PRESIDENT
Credential:
Phone: 202-255-2012