Active NPI
Karis Terrell, DPH
- Pharmacist
- Gore, OK
National Provider Identifier
1093471526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19312
- Practice address
- 305 North Main Street
Gore, OK 74435 - Phone
- (918) 489-5558
- NPI assigned
- Nov 9, 2021
- 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 | 19312 | OK | Primary |
Addresses
Primary practice location
305 North Main Street
Gore, OK 74435
Mailing address
PO Box 330
Gore, OK 74435-0330
Phone (918) 489-5558
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 |
|---|---|---|---|
| Gore Green Country Drug, Inc. | Past | Accepting new patients | |
| Neok Chronic Care | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Gore, OK
- NPI 1548262132
-
- Case Management Agency
- Gore, OK
- NPI 1720825144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1093471526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330",
"city": "GORE",
"state": "OK",
"postal_code": "744350330",
"telephone_number": "918-489-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 NORTH MAIN STREET",
"city": "GORE",
"state": "OK",
"postal_code": "74435",
"telephone_number": "918-489-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "KARIS",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "19312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.