Individual provider Active NPI

Ahmad B Abd Raffur

  • Pharmacist
  • Tulsa, OK
National Provider Identifier
1295073062
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15355 Issued in OK
Practice address
4971 S Memorial Dr
Tulsa, OK 74145-6914
Phone
(918) 663-4578
NPI assigned
Jan 29, 2013
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15355 OK Primary

Addresses

Primary practice location

4971 S Memorial Dr
Tulsa, OK 74145-6914

Mailing address

4971 S Memorial Dr
Tulsa, OK 74145-6914
Phone (918) 663-4578

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1295073062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741456914",
            "telephone_number": "918-663-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741456914",
            "telephone_number": "918-663-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABD RAFFUR",
        "first_name": "AHMAD",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "15355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.