Active NPI
Courtney Lundeen
- Pharmacist
- Edmond, OK
National Provider Identifier
1114405818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16177
- Practice address
- 104 S Bryant Ave
Edmond, OK 73034-6327 - Phone
- (405) 348-1677
- NPI assigned
- Aug 3, 2018
- Last updated
- Aug 3, 2018
- 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 | 16177 | OK | Primary |
Addresses
Primary practice location
104 S Bryant Ave
Edmond, OK 73034-6327
Mailing address
104 S Bryant Ave
Edmond, OK 73034-6327
Phone (495) 348-1677
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16177 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C & B Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hospital Discount Pharmacy
- Community/Retail Pharmacy
- Edmond, OK
- NPI 1790823789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1114405818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346327",
"telephone_number": "495-348-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346327",
"telephone_number": "405-348-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDEEN",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "16177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
- Neil Walter Lucht, RPT
- Kayla Luckett
- Cynthia Arlene Luft, M.S., C.C.C.-SLP
- Luminary Dermatology of Oklahoma, LLC
- Samantha Luna Pittser, BCBA
- Madison Lane Lunsford
- Luqy Smiles PLLC (LoFi Dental)
- Luxor Professional Corporation (Dr. Daniel Rowe, D.C.)
- Deborah Lee Lynch, BSR IN REHAB
- James Edward Lynch, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.