Dominique Abeyta, PHARM.D.
Individual provider Active NPI Pharmacist · Tulsa, OK
NPI 1033713656 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1033713656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18761 (OK)
- Practice address
- 2019 E 81St St
Tulsa, OK 74137-4232 - Phone
- (918) 496-0053
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18761 | OK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18761 | OK | Yes |
Addresses
Primary practice location
2019 E 81St St
Tulsa, OK 74137-4232
Mailing address
1320 E 134TH St
Glenpool, OK 74033-2246
Phone (307) 922-1122
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.