Tracey Marie Oliver

Primary specialty

PharmacistTaxonomy code 183500000X

License

I-10087 Issued in OK

Practice address

100 Campus Dr
Weatherford, OK 73096-3001

Phone

(580) 774-3063

NPI assigned

Mar 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1144857533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 MULBURY MANSION",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730963001",
            "telephone_number": "580-774-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "TRACEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "I-10087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olivertm@student.swosu.edu",
            "affiliation": "Y",
            "affiliationName": "Southwestern Oklahoma State University",
            "address_1": "100 Campus Dr",
            "city": "Weatherford",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730963001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oklahoma West Physicians Group
• Oklahoma West Physicians Group
• Oklahoma West Physicians Group
• Tara Oliphant
• Kalyp Oliver, M.ED., LAT, ATC
• Reyna Alejandra Olvera, COTA/L
• Nailea Ortega, COTA/L
• McKinley Outhier
• Olaide O Owoloye
• Ena Vanesa Pacheco

• Pharmacist in Weatherford, OK
• Providers in Weatherford, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.