Active NPI
Mitra Salehi, PHARM.D., R.PH.
- Pharmacist
- Clinton, OK
National Provider Identifier
1306011978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11740
- Practice address
- RR 1 Box 3060
Clinton, OK 73601-9303 - Phone
- (580) 323-2884
- NPI assigned
- Apr 24, 2008
- 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 | 11740 | OK | Primary |
Addresses
Primary practice location
RR 1 Box 3060
Clinton, OK 73601-9303
Mailing address
PO Box 844
Weatherford, OK 73096-0844
Phone (580) 772-7050
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11740 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1306011978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844",
"city": "WEATHERFORD",
"state": "OK",
"postal_code": "730960844",
"telephone_number": "580-772-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 1 BOX 3060",
"city": "CLINTON",
"state": "OK",
"postal_code": "736019303",
"telephone_number": "580-323-2884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEHI",
"first_name": "MITRA",
"credential": "PHARM.D., R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.