Active NPI
Lisa Bridge Korber, PHARM.D.
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1306056643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12148
- Practice address
- 3433 NW 56TH St
140B
Oklahoma City, OK 73112-4455 - Phone
- (405) 945-4400
- Fax
- (405) 945-4407
- NPI assigned
- May 23, 2007
- Sex
- Female
- 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 | 12148 | OK | Primary |
Addresses
Primary practice location
3433 NW 56TH St
140B
Oklahoma City, OK 73112-4455
Mailing address
1209 Fairview Farm Rd
Edmond, OK 73013-1333
Phone (405) 945-4400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12148 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306056643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 FAIRVIEW FARM RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131333",
"telephone_number": "405-945-4400",
"fax_number": "405-945-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3433 NW 56TH ST",
"address_2": "140B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124455",
"telephone_number": "405-945-4400",
"fax_number": "405-945-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORBER",
"first_name": "LISA",
"middle_name": "BRIDGE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "12148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.