Active NPI
Micheal M McAnally, PHARMACIST
- Pharmacist
- Fort Sill, OK
National Provider Identifier
1033130513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10994
- Practice address
- 4301 Wilson St
Fort Sill, OK 73503-4472 - Phone
- (580) 558-3980
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10994 | OK | Primary |
Addresses
Primary practice location
4301 Wilson St
Fort Sill, OK 73503-4472
Mailing address
230 Wilde Rd
Ponca City, OK 74604-6042
Phone (580) 767-0096
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10994 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1033130513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 WILDE RD",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746046042",
"telephone_number": "580-767-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 WILSON ST",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034472",
"telephone_number": "580-558-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANALLY",
"first_name": "MICHEAL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "10994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.