Shawn Evan Andrus
Individual provider Active NPI Pharmacist · Oklahoma City, OK
NPI 1134423528 · NPPES record last updated Dec 29, 2010
Key facts
- NPI
- 1134423528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10547 (OK)
- Practice address
- 3500 Chesterfield PL
Oklahoma City, OK 73179-6019 - Phone
- (405) 745-5004
- Fax
- (405) 745-5004
- NPI assigned
- Dec 29, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-14985 | KS | MD | Pharmacist |
| 2010038516 | MO | MD | Pharmacist |
| 17848 | NV | MD | Pharmacist |
| 10547 | OK | MD | Pharmacist |
| 27756 | TX | MD | Pharmacist |
| 0202210139 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10547 | OK | Yes |
| Pharmacist | 183500000X | 27756 | TX | |
| Pharmacist | 183500000X | 2010038516 | MO | |
| Pharmacist | 183500000X | 17848 | NV | |
| Pharmacist | 183500000X | 1-14985 | KS | |
| Pharmacist | 183500000X | 0202210139 | VA |
Addresses
Primary practice location
3500 Chesterfield PL
Oklahoma City, OK 73179-6019
Mailing address
3500 Chesterfield PL
Oklahoma City, OK 73179-6019
Phone (405) 745-5004
Other providers in Oklahoma City, OK
- Sharon Kaye Andrews
- Stephanie Andrews
- Joseph Albert Andrezik
- Conner Andrulonis
- John C. Andrus
- Anesthesia and Tee Services, PC
- Anesthesia Medical Professionals Baptist LLC
- Anesthesia Medical Professionals Edmond LLC
- Anesthesia Medical Professionals NW Okc LLC
- Anesthesia Medical Professionals Yukon LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.