Active NPI
Makinzie Oden, PHARMD
- Pharmacist
- Altus, OK
National Provider Identifier
1104271808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14741
- Practice address
- 1200 E Pecan St
Altus, OK 73521-6192 - Phone
- (580) 379-5700
- NPI assigned
- Apr 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 14741 | OK | Primary |
Addresses
Primary practice location
1200 E Pecan St
Altus, OK 73521-6192
Mailing address
20413 E County Road 159
Altus, OK 73521-8318
Phone (580) 370-6862
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pharmacy@direct.jcmh.com | Direct |
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
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Current | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Locations
1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000
Interoperability endpoints
- pharmacy@direct.jcmh.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
dba Walmart Pharmacy 10-0479
- Community/Retail Pharmacy
- Altus, OK
- NPI 1871510990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1104271808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20413 E COUNTY ROAD 159",
"city": "ALTUS",
"state": "OK",
"postal_code": "735218318",
"telephone_number": "580-370-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E PECAN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735216192",
"telephone_number": "580-379-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEN",
"first_name": "MAKINZIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-30",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14741",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pharmacy@direct.jcmh.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1200 E Pecan St",
"city": "Altus",
"state": "OK",
"country_code": "US",
"postal_code": "735216192",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Altus, OK
- Noble L Ballard.Medical Clinic, PLLC
- Ramona G Noble, C-CHW
- Isabella Suzanne Norton, MS
- Nursing Center of the Southwest LLC (Plantation Village Nursing Center)
- Staci O'Steen
- Oklahoma City Vamc
- Oklahoma Mental Health Council (Red Rock BHS)
- Oklahoma Psychiatric Family Clinic, Inc (Oklahoma Psychiatric Family Clinic)
- Michael Lee Oliver, DO
- Ashontay Owens
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.