Active NPI
Beverly Margaret Myers, D.PH.
- Pharmacist
- Glenpool, OK
National Provider Identifier
1063577898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9149
- Practice address
- 262 E. 141St St.
Glenpool, OK 74033-3118 - Phone
- (918) 322-3667
- Fax
- (918) 322-5923
- NPI assigned
- Dec 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 9149 | OK | Primary |
Addresses
Primary practice location
262 E. 141St St.
Glenpool, OK 74033-3118
Mailing address
5805 E 97TH St
Tulsa, OK 74137-5009
Phone (918) 299-6728
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 |
|---|---|---|---|
| 9149 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenpool Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063577898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 E 97TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741375009",
"telephone_number": "918-299-6728",
"fax_number": "918-299-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 E. 141ST ST.",
"city": "GLENPOOL",
"state": "OK",
"postal_code": "740333118",
"telephone_number": "918-322-3667",
"fax_number": "918-322-5923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "BEVERLY",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "9149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenpool, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.