Individual provider Active NPI

Karen Egesdal, D.PH

  • Pharmacist
  • Oklahoma City, OK
National Provider Identifier
1104813203
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11159 Issued in OK
Practice address
4545 N Lincoln Blvd
Oklahoma City, OK 73105-3413
Phone
(405) 522-7459
Fax
(405) 530-3390
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11159 OK Primary
Pharmacist 183500000X 43076 CA
Pharmacist 183500000X S09340 AZ

Addresses

Primary practice location

4545 N Lincoln Blvd
Oklahoma City, OK 73105-3413

Mailing address

2201 Ivy Glenn CT
Edmond, OK 73034-4231
Phone (405) 348-1864

Other identifiers 3

IdentifierTypeStateIssuer
11159OtherOKPHARMACIST LISCENSE
S09340OtherAZARIZONA PHARMACIST LISCEN
43076OtherCAPHARMACIST LISCENSE

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

State licenses

LicenseStateTypeSpecialty
S09340AZMDPharmacist
11159OKMDPharmacist
43076CAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104813203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 IVY GLENN CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344231",
            "telephone_number": "405-348-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731053413",
            "telephone_number": "405-522-7459",
            "fax_number": "405-530-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGESDAL",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "D.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11159",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "43076",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S09340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LISCENSE",
            "identifier": "11159",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA PHARMACIST LISCEN",
            "identifier": "S09340",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LISCENSE",
            "identifier": "43076",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.