Active NPI
Draye Bussey, RPH
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1215558085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18538
- Practice address
- 2412 N Classen Blvd
Oklahoma City, OK 73106-5625 - Phone
- (405) 521-0996
- Fax
- (405) 525-5747
- NPI assigned
- May 2, 2020
- Last updated
- May 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 18538 | OK | Primary |
Addresses
Primary practice location
2412 N Classen Blvd
Oklahoma City, OK 73106-5625
Mailing address
2412 N Classen Blvd
Oklahoma City, OK 73106-5625
Phone (405) 521-0996
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1588377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588377600000",
"number": "1215558085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 N CLASSEN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731065625",
"telephone_number": "405-521-0996",
"fax_number": "405-525-5747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 N CLASSEN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731065625",
"telephone_number": "405-521-0996",
"fax_number": "405-525-5747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSEY",
"first_name": "DRAYE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-02",
"last_updated": "2020-05-02",
"certification_date": "2020-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "18538",
"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 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.