Saja Al Shalabi

Individual provider Active NPI Pharmacist · Tulsa, OK

NPI 1134733496 · NPPES record last updated Sep 3, 2020

Key facts

NPI
1134733496
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
18797 (OK)
Practice address
6116 S Lewis Ave
Tulsa, OK 74136-1001
Phone
(918) 742-1643
Fax
(018) 742-1705
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18797OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma CVS Pharmacy, L.L.C. Past
since Sep 6, 2020
Accepting new patients
Oklahoma CVS Pharmacy LLC Past
since Sep 6, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18797 OK Yes

Addresses

Primary practice location

6116 S Lewis Ave
Tulsa, OK 74136-1001

Mailing address

7369 E 126TH St S
Bixby, OK 74008-2651

Other providers in Tulsa, OK

All providers in Tulsa, OK · Pharmacist in Oklahoma

Sources for this page

Verify at the official NPI Registry.