Shelli Dawn Caldwell

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

T4184 Issued in OK

Practice address

301 W Grand Ave
Ponca City, OK 74601-5118

Phone

(580) 765-4456

Fax

(580) 765-0668

NPI assigned

Sep 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Toni'S Westside Rexall Inc

  • Community/Retail Pharmacy
  • Ponca City, OK
  • NPI 1164437901
  NPD
• Toni'S Westside Rexall Inc

  • Durable Medical Equipment & Medical Supplies
  • Ponca City, OK
  • NPI 1407901671
  NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1164513040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W GRAND AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015118",
            "telephone_number": "580-765-4456",
            "fax_number": "580-765-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W GRAND AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015118",
            "telephone_number": "580-765-4456",
            "fax_number": "580-765-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "SHELLI",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OK",
            "license": "T4184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235620",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrell Dean Burns, MS
• Jeanetta Bussell
• Darcy Dee Butler, RDN, LD
• Joy Diane Butler
• Kristopher Lee Butler
• Caleb H Harris MD Facs
• Terri Calhoun
• Christiane Camero
• Billi Campbell
• Kelly Christine Campbell, O.D.

• Pharmacy Technician in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Pharmacy Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.