Individual provider Active NPI

Tanya Billingsley

  • Pharmacist
  • Bethany, OK
National Provider Identifier
1235734237
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18656 Issued in OK
Practice address
2316 N Rockwell Ave
Bethany, OK 73008-5852
Phone
(405) 440-0342
NPI assigned
Nov 30, 2020
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18656 OK Primary

Addresses

Primary practice location

2316 N Rockwell Ave
Bethany, OK 73008-5852

Mailing address

6328 Saintsbury CT
Oklahoma City, OK 73132-2231
Phone (405) 229-0260

Other practice location 1

110 W Vandament Ave
Yukon, OK 73099-4636
Phone (405) 354-4869

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

State licenses

LicenseStateTypeSpecialty
18656OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jan 1, 2023 Accepting new patients
Oklahoma CVS Pharmacy LLC PastSince Dec 1, 2020 Accepting new patients
Walgreen Co PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 3

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1235734237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 SAINTSBURY CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731322231",
            "telephone_number": "405-229-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 N ROCKWELL AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085852",
            "telephone_number": "405-440-0342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Vandament Ave",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730994636",
            "country_code": "US",
            "telephone_number": "405-354-4869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLINGSLEY",
        "first_name": "TANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "18656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.