Jerry David Fraser, D.PH.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

9765 Issued in OK

Practice address

1101 Honor Heights Dr
Pharmacy Department
Muskogee, OK 74401-1302

Phone

(918) 577-3185

Fax

(918) 577-4463

NPI assigned

Jan 8, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1083951248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HONOR HEIGHTS DR",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011302",
            "telephone_number": "918-577-3185",
            "fax_number": "918-577-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HONOR HEIGHTS DR",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011302",
            "telephone_number": "918-577-3185",
            "fax_number": "918-577-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "JERRY",
        "middle_name": "DAVID",
        "credential": "D.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OK",
            "license": "9765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna Elaine Foresee, REGISTERED NURSE
• Mark Douglas Fossey, MD
• Michelle D. Foster, DPH
• Sarah Foster, PT
• Ty-Tiona N Fowler
• Erica R. Frazier, LPC
• Ivey Michele Frazier, DDS
• Jessica R Frazier
• Fred M Ruefer, MD PC
• John Thomas Freie, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.