Individual provider Active NPI

Renae M Kraft, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Yukon, OK
National Provider Identifier
1144625138
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
15683 Issued in OK
Practice address
11225 W Reno Ave
Yukon, OK 73099-7569
Phone
(405) 633-3419
NPI assigned
Nov 3, 2014
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
15683OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecting Care Clinic, LLC Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist CurrentSince Mar 31, 2024 Accepting new patients
Ralphs Family Pharmacy Inc PastSince Dec 1, 2019 Accepting new patients
Miller Drug Past Accepting new patients
Yukon RX Inc. Pharmacist PastSince Oct 21, 2025 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.

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.

Verify at the official NPI Registry.