Ahmad H Al-Shaer
Individual provider Active NPI Pharmacist · Tulsa, OK
NPI 1215447495 · NPPES record last updated Oct 2, 2017
Key facts
- NPI
- 1215447495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17222 (OK)
- Practice address
- 6116 S Lewis Ave
Tulsa, OK 74136-1001 - Phone
- (918) 742-1643
- NPI assigned
- Oct 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17222 | OK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17222 | OK | Yes |
Addresses
Primary practice location
6116 S Lewis Ave
Tulsa, OK 74136-1001
Mailing address
6116 S Lewis Ave
Tulsa, OK 74136-1001
Phone (918) 742-1643
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.