Active NPI
Gary Ross Ward, PHARMACIST
- Pharmacist
- Edmond, OK
National Provider Identifier
1245826338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10695
- Practice address
- 1151 N Bryant Ave
Edmond, OK 73034-3251 - Phone
- (405) 844-4404
- Fax
- (405) 844-4407
- NPI assigned
- Dec 14, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 10695 | OK | Primary |
Addresses
Primary practice location
1151 N Bryant Ave
Edmond, OK 73034-3251
Mailing address
10960 S Broadway
Edmond, OK 73034-8685
Phone (405) 205-1604
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10695 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1245826338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10960 S BROADWAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730348685",
"telephone_number": "405-205-1604",
"fax_number": "405-844-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 N BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730343251",
"telephone_number": "405-844-4404",
"fax_number": "405-844-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "GARY",
"middle_name": "ROSS",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "10695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.