Active NPI
Nicholas Warner, RPH
- Pharmacist
- Yukon, OK
National Provider Identifier
1225534399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15438
- Practice address
- 201 S Mustang Rd
Yukon, OK 73099-6686 - Phone
- (405) 324-8170
- NPI assigned
- Apr 5, 2018
- 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 | 15438 | OK | Primary |
Addresses
Primary practice location
201 S Mustang Rd
Yukon, OK 73099-6686
Mailing address
201 S Mustang Rd
Yukon, OK 73099-6686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15438 | Other | OK | PHARMACIST LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15438 | OK | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1225534399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996686",
"telephone_number": "405-324-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "NICHOLAS",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-05",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "OK",
"license": "15438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "15438",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.