Myrna Michelle Garbrecht, PHARMD

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

17587 Issued in OK

Practice address

4608 Avalon PL
Edmond, OK 73034-4074

Phone

(405) 513-1510

NPI assigned

Mar 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1205530128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 AVALON PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344074",
            "telephone_number": "405-513-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 AVALON PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344074",
            "telephone_number": "405-513-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBRECHT",
        "first_name": "MYRNA",
        "middle_name": "MICHELLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "OK",
            "license": "17587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "61627",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BOARD OF PHARMACY",
            "identifier": "17587",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Gamon
• Jay K Gannaway, MD
• Stephanie Lynn Gannaway, AU.D.,CCC-A
• Raghuvender Ganta, MD
• Lance Matthews Garber, MD
• Daniela Garces
• Jormi D Garcia Tomaw
• Hayley Garcia, RBT
• Ryan Edward Garcia
• Jessica Lynn Gard, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.