Active NPI
Caleb Thomas
- Pharmacist
- Broken Arrow, OK
National Provider Identifier
1063023919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18536
- Practice address
- 3751 N Aspen Ave
Broken Arrow, OK 74012-1109 - Phone
- (918) 355-2317
- NPI assigned
- Aug 13, 2020
- Last updated
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 18536 | OK | Primary |
Addresses
Primary practice location
3751 N Aspen Ave
Broken Arrow, OK 74012-1109
Mailing address
13219 E 31St PL Apt 1311
Tulsa, OK 74134-3464
Phone (214) 493-9625
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3751 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 260-3298
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": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1063023919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13219 E 31ST PL APT 1311",
"city": "TULSA",
"state": "OK",
"postal_code": "741343464",
"telephone_number": "214-493-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 N ASPEN AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740121109",
"telephone_number": "918-355-2317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CALEB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "18536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.