Active NPI
Cleta Ann Hilburn
- Pharmacist
- Seminole, OK
National Provider Identifier
1235728486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10297
- Practice address
- 1701 N Milt Phillips Ave
Seminole, OK 74868-2333 - Phone
- (405) 382-1467
- Fax
- (405) 382-5704
- NPI assigned
- Jan 12, 2021
- Last updated
- Jan 12, 2021
- Sex
- Female
- 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 | 10297 | OK | Primary |
Addresses
Primary practice location
1701 N Milt Phillips Ave
Seminole, OK 74868-2333
Mailing address
PO Box 832
Noble, OK 73068-0832
Phone (405) 326-7185
Other practice location 1
1701 N Milt Phillips Ave
Seminole, OK 74868-2333
Phone (405) 382-1467
Other names 1
- Cleta Ann Hilburn
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hac, Inc. | Current | Accepting new patients | |
| Hac, Inc | Past | Accepting new patients |
Locations
1701 N Milt Phillips Ave
Seminole, OK 74868
Phone (405) 382-1467
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": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1235728486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 832",
"city": "NOBLE",
"state": "OK",
"postal_code": "730680832",
"telephone_number": "405-326-7185",
"fax_number": "405-382-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N MILT PHILLIPS AVE",
"city": "SEMINOLE",
"state": "OK",
"postal_code": "748682333",
"telephone_number": "405-382-1467",
"fax_number": "405-382-5704"
}
],
"practiceLocations": [
{
"address_1": "1701 N Milt Phillips Ave",
"address_purpose": "LOCATION",
"city": "Seminole",
"state": "OK",
"postal_code": "748682333",
"country_code": "US",
"telephone_number": "405-382-1467",
"fax_number": "405-382-5704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILBURN",
"first_name": "CLETA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "10297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLETA",
"last_name": "HILBURN",
"middle_name": "ANN",
"credential": "DPH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Seminole, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.