Active NPI
Renae M Kraft, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 15683
- Practice address
- 11225 W Reno Ave
Yukon, OK 73099-7569 - Phone
- (405) 633-3419
- NPI assigned
- Nov 3, 2014
- Last updated
- Mar 26, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15683 | OK | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 15683 | OK | Primary |
Addresses
Primary practice location
11225 W Reno Ave
Yukon, OK 73099-7569
Mailing address
4062 NW 36TH St
Oklahoma City, OK 73112-2988
Phone (316) 249-3265
Other practice location 1
3501 French Park Dr Ste C
Edmond, OK 73034-7290
Phone (405) 633-3419
Other practice location 2
1101 NW 178th St Ste A
Edmond, OK 73012-4281
Phone (405) 285-2600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15683 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecting Care Clinic, LLC | Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist | Current | Accepting new patients |
| Ralphs Family Pharmacy Inc | Past | Accepting new patients | |
| Miller Drug | Past | Accepting new patients | |
| Yukon RX Inc. | Pharmacist | Past | Accepting new patients |
Locations
11225 W Reno Ave
Yukon, OK 73099
Phone (405) 354-5604
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Yukon, OK
- NPI 1689424079
Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist
-
- Pharmacy
- Yukon, OK
- NPI 1386755031
-
- Community/Retail Pharmacy
- Edmond, OK
- NPI 1316383649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1144625138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4062 NW 36TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122988",
"telephone_number": "316-249-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11225 W RENO AVE",
"city": "YUKON",
"state": "OK",
"postal_code": "730997569",
"telephone_number": "405-633-3419"
}
],
"practiceLocations": [
{
"address_1": "3501 French Park Dr Ste C",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730347290",
"country_code": "US",
"telephone_number": "405-633-3419",
"fax_number": "316-742-4110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 NW 178th St Ste A",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730124281",
"country_code": "US",
"telephone_number": "405-285-2600",
"fax_number": "405-285-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAFT",
"first_name": "RENAE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-03",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15683",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OK",
"license": "15683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.