Active NPI
Damian Dartez, RPH
- Community/Retail Pharmacy
- Oklahoma City, OK
National Provider Identifier
1225540842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 16283
- Practice address
- 2323 N Martin Luther King Ave
Oklahoma City, OK 73111-2405 - Phone
- (405) 424-0557
- Fax
- (405) 424-0105
- NPI assigned
- Nov 5, 2017
- Last updated
- Nov 5, 2017
- 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 16283 | OK | Primary |
Addresses
Primary practice location
2323 N Martin Luther King Ave
Oklahoma City, OK 73111-2405
Mailing address
2323 N Martin Luther King Ave
Oklahoma City, OK 73111-2405
Phone (405) 424-0557
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 |
|---|---|---|---|
| 16283 | OK | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma CVS Pharmacy LLC | Community/Retail Pharmacy | Past | Accepting new patients |
| Oklahoma CVS Pharmacy LLC | Community/Retail Pharmacy | 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": "1509840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509840000000",
"number": "1225540842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 N MARTIN LUTHER KING AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731112405",
"telephone_number": "405-424-0557",
"fax_number": "405-424-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 N MARTIN LUTHER KING AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731112405",
"telephone_number": "405-424-0557",
"fax_number": "405-424-0105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARTEZ",
"first_name": "DAMIAN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-05",
"last_updated": "2017-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "16283",
"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 Nov 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.