Active NPI
Jeffrey Scott Terry, PHARM.D.
- Pharmacist
- Perry, OK
National Provider Identifier
1073882361
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Oct 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14550
- Practice address
- 328 6TH
Perry, OK 73077-7020 - Phone
- (580) 336-2136
- NPI assigned
- Dec 15, 2011
- Last updated
- Dec 15, 2011
- 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 | 14550 | OK | Primary |
Addresses
Primary practice location
328 6TH
Perry, OK 73077-7020
Mailing address
12 Wilshire
Perry, OK 73077
Phone (405) 397-6911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14550 | Other | OK | OSBP |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14550 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1073882361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WILSHIRE",
"city": "PERRY",
"state": "OK",
"postal_code": "73077",
"telephone_number": "405-397-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 6TH",
"city": "PERRY",
"state": "OK",
"postal_code": "730777020",
"telephone_number": "580-336-2136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-15",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSBP",
"identifier": "14550",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perry, OK
- Stillwater Medical Center Authority
- Stillwater Medical Center Authority (Perry Memorial Hospital Home Health)
- Stillwater Medical Center Authority (Community Medical Clinic)
- Michelle Lee Taylor
- Elizabeth Teeman-Hall
- Thera-Brand Physical Therapy LLC
- Tori Michelle Thompson
- Katherine C Treiner
- Floyd Scott Villines, D.C.
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1278)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.