Nicole Janel Mourning, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

13978 Issued in OK

Practice address

15100 N Western Ave
Edmond, OK 73013-1108

Phone

(405) 330-3742

NPI assigned

Sep 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Janel Hazelwood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Edmond, OK
  • NPI 1124035035
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1194008151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 N WESTERN AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131108",
            "telephone_number": "405-330-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 N WESTERN AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131108",
            "telephone_number": "405-330-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURNING",
        "first_name": "NICOLE",
        "middle_name": "JANEL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13978",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HAZELWOOD",
            "middle_name": "JANEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reba Morton, D.C.
• Holly Denise Mosley
• Julie C Motes, O.D.
• Krista Lynn Motley, M.S., CCC-SLP
• Robert Mottola, MSW, LCSW
• Christine Mousa
• Nicole Mouton
• Courtney Moyer
• Steven B Moyer, O.D., M.P.H.
• Gracie J Moyers, M.A.

• Pharmacist in Edmond, OK
• Providers in Edmond, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.