Active NPI
Kryslyn Cassada, D.PH
- Pharmacist
- Tulsa, OK
National Provider Identifier
1164718573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14857
- Practice address
- 10019 S Memorial Dr
T-2542
Tulsa, OK 74133-6103 - Phone
- (918) 615-5001
- NPI assigned
- Jun 23, 2011
- 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 | 14857 | OK | Primary |
| Pharmacist | 183500000X | 47325 | TX |
Addresses
Primary practice location
10019 S Memorial Dr
T-2542
Tulsa, OK 74133-6103
Mailing address
10019 S Memorial Dr
T-2542
Tulsa, OK 74133-6103
Phone (918) 615-5001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14857 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1164718573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10019 S MEMORIAL DR",
"address_2": "T-2542",
"city": "TULSA",
"state": "OK",
"postal_code": "741336103",
"telephone_number": "918-615-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10019 S MEMORIAL DR",
"address_2": "T-2542",
"city": "TULSA",
"state": "OK",
"postal_code": "741336103",
"telephone_number": "918-615-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSADA",
"first_name": "KRYSLYN",
"name_prefix": "Dr.",
"credential": "D.PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14857",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47325",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.