Individual provider Active NPI

John Douglas Lassiter, D.PH.

  • Pharmacist
  • Guthrie, OK
National Provider Identifier
1003110586
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32-5603 Issued in OK
Practice address
102 W Noble Ave
Guthrie, OK 73044-3123
Phone
(405) 282-7800
Fax
(405) 282-2244
NPI assigned
Dec 27, 2010
Last updated
Dec 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32-5603 OK Primary
Pharmacotherapy Pharmacist 1835P1200X 32-5603 OK

Addresses

Primary practice location

102 W Noble Ave
Guthrie, OK 73044-3123

Mailing address

102 W Noble Ave
Guthrie, OK 73044-3123
Phone (405) 282-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jinny Ann 4 Corporation Current Accepting new patients
Guthrie Pharmacy Inc Current Accepting new patients

Locations

102 W Noble Ave
Guthrie, OK 73044
Phone (405) 282-7800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1003110586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W NOBLE AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443123",
            "telephone_number": "405-282-7800",
            "fax_number": "405-282-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W NOBLE AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443123",
            "telephone_number": "405-282-7800",
            "fax_number": "405-282-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "credential": "D.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "32-5603",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OK",
            "license": "32-5603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.