Active NPI
Victoria Denise Elias, PHARM D
- Pharmacist
- Jenks, OK
National Provider Identifier
1174510739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13608
- Practice address
- 715 W Main St Ste C
Jenks, OK 74037-3553 - Phone
- (918) 770-6912
- NPI assigned
- Sep 29, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13608 | OK | Primary |
Addresses
Primary practice location
715 W Main St Ste C
Jenks, OK 74037-3553
Mailing address
10289 S 49TH West Ave
Sapulpa, OK 74066-9057
Phone (918) 960-8537
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13608 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385164800000",
"number": "1174510739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10289 S 49TH WEST AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740669057",
"telephone_number": "918-960-8537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W MAIN ST STE C",
"city": "JENKS",
"state": "OK",
"postal_code": "740373553",
"telephone_number": "918-770-6912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIAS",
"first_name": "VICTORIA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2013-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.