Vanessa England, PHARMD
Individual provider Active NPI Pharmacist · Kingfisher, OK
NPI 1154716140 · NPPES record last updated Apr 6, 2015
Key facts
- NPI
- 1154716140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14604 (OK)
- Practice address
- 1309 S Main St
Kingfisher, OK 73750-4402 - Phone
- (405) 375-6300
- NPI assigned
- Apr 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14604 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Pharmacy LLC | Past | Accepting new patients | |
| Rjrx3 LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14604 | OK | Yes |
Addresses
Primary practice location
1309 S Main St
Kingfisher, OK 73750-4402
Mailing address
1309 S Main St
Kingfisher, OK 73750-4402
NPI Registry JSON
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1154716140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 S MAIN ST",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "737504402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 S MAIN ST",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "737504402",
"telephone_number": "405-375-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLAND",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingfisher, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2015. 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.