Individual provider Active NPI

Tanner Reid Volz

  • Pharmacist
  • Bartlesville, OK
National Provider Identifier
1225508625
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15788 Issued in OK
Practice address
143 SE Washington Blvd
Bartlesville, OK 74006-2334
Phone
(918) 876-4204
Fax
(918) 876-4206
NPI assigned
Nov 28, 2018
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15788 OK Primary

Addresses

Primary practice location

143 SE Washington Blvd
Bartlesville, OK 74006-2334

Mailing address

143 SE Washington Blvd
Bartlesville, OK 74006-2334
Phone (918) 876-4204

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

Practice roles

OrganizationSpecialtyStatusNew patients
NW Bartlesville LLC Past Accepting new patients
SC Pharmacy Group Opco LLC 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, 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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1225508625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062334",
            "telephone_number": "918-876-4204",
            "fax_number": "918-876-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062334",
            "telephone_number": "918-876-4204",
            "fax_number": "918-876-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLZ",
        "first_name": "TANNER",
        "middle_name": "REID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "15788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.