Active NPI
Saumy Sunny Thomas
- Pharmacist
- Bixby, OK
National Provider Identifier
1215211693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14300
- Practice address
- 15111 S Memorial Dr
Bixby, OK 74008-4123 - Phone
- (918) 366-2910
- NPI assigned
- Oct 4, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 14300 | OK | Primary |
Addresses
Primary practice location
15111 S Memorial Dr
Bixby, OK 74008-4123
Mailing address
7317 E 112TH St S
Bixby, OK 74008-2163
Phone (918) 808-0481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14300 | Other | OK | OKLAHOMA STATE BOARD OF PHARMACY |
Other names 1
- Mrs. Saumy S Olickal
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14300 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Bixby, OK
- NPI 1386875037
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1215211693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7317 E 112TH ST S",
"city": "BIXBY",
"state": "OK",
"postal_code": "740082163",
"telephone_number": "918-808-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15111 S MEMORIAL DR",
"city": "BIXBY",
"state": "OK",
"postal_code": "740084123",
"telephone_number": "918-366-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SAUMY",
"middle_name": "SUNNY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-04",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE BOARD OF PHARMACY",
"identifier": "14300",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAUMY",
"last_name": "OLICKAL",
"middle_name": "S",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bixby, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.