Individual provider Active NPI

John Smith, PHARMD

  • Pharmacist
  • Oklahoma City, OK
National Provider Identifier
1194309310
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14961 Issued in OK
Practice address
7400 Plaza Mayor Blvd Ste 100
Oklahoma City, OK 73149-4902
Phone
(888) 321-7774
NPI assigned
May 12, 2021
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14961 OK Primary

Addresses

Primary practice location

7400 Plaza Mayor Blvd Ste 100
Oklahoma City, OK 73149-4902

Mailing address

7400 Plaza Mayor Blvd Ste 100
Oklahoma City, OK 73149-4902

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
14961OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacorr, LLC CurrentSince May 16, 2021 Accepting new patients
Pharmacorr, LLC PastSince May 16, 2021 Accepting new patients

Locations

7400 Plaza Mayor Blvd
Ste 100
Oklahoma City, OK 73149
Phone (405) 488-3000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1194309310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 PLAZA MAYOR BLVD STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731494902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 PLAZA MAYOR BLVD STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731494902",
            "telephone_number": "888-321-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.