Individual provider Active NPI

Lindsay Dallas Gatrell, PHARM D

  • Pharmacist
  • Pawhuska, OK
National Provider Identifier
1174700355
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
R-14136 Issued in OK
Practice address
714 Kihekah Ave
Pawhuska, OK 74056-3206
Phone
(918) 287-1317
Fax
(918) 287-1158
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 14136 OK
Pharmacist 183500000X R-14136 OK Primary

Addresses

Primary practice location

714 Kihekah Ave
Pawhuska, OK 74056-3206

Mailing address

714 Kihekah Ave
Pawhuska, OK 74056-3206
Phone (918) 287-1317

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

LicenseStateTypeSpecialty
R-14136OKMDPharmacist
14136OKMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gatrell 6 Enterprises LLC CurrentSince Jun 23, 2024 Accepting new patients
Gatrell 6 Enterprises LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

714 Kihekah Ave
Pawhuska, OK 74056
Phone (918) 287-1317

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1174700355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 KIHEKAH AVE",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740563206",
            "telephone_number": "918-287-1317",
            "fax_number": "918-287-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 KIHEKAH AVE",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740563206",
            "telephone_number": "918-287-1317",
            "fax_number": "918-287-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATRELL",
        "first_name": "LINDSAY",
        "middle_name": "DALLAS",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "OK",
            "license": "14136",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "R-14136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawhuska, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.