Individual provider Active NPI

Amber Renae Easton, DOCTOR OF PHARMACY

  • Pharmacist
  • Tulsa, OK
National Provider Identifier
1093132961
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14696 Issued in OK
Practice address
1924 S Utica Ave Ste 420
Tulsa, OK 74104
Phone
(918) 403-4078
NPI assigned
Mar 27, 2014
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14696 OK Primary

Addresses

Primary practice location

1924 S Utica Ave Ste 420
Tulsa, OK 74104

Mailing address

2604 W Union PL
Broken Arrow, OK 74011-6817
Phone (580) 512-4099

Other practice location 1

1407 N Whisenant Dr
Duncan, OK 73533-1650
Phone (580) 251-5300

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

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1093132961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 W UNION PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740116817",
            "telephone_number": "580-512-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 S UTICA AVE STE 420",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-403-4078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 N Whisenant Dr",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "OK",
            "postal_code": "735331650",
            "country_code": "US",
            "telephone_number": "580-251-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTON",
        "first_name": "AMBER",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.