Active NPI
Bryan Wesley Bell
- Pharmacist
- Shattuck, OK
National Provider Identifier
1306078613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14467
- Practice address
- 522 S Main St
Shattuck, OK 73858-9604 - Phone
- (580) 938-2854
- Fax
- (580) 938-2888
- NPI assigned
- Aug 20, 2009
- Last updated
- Aug 20, 2009
- 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 | 14467 | OK | Primary |
Addresses
Primary practice location
522 S Main St
Shattuck, OK 73858-9604
Mailing address
P.O. Box 99
Shattuck, OK 73858-9604
Phone (580) 938-2854
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 |
|---|---|---|---|
| 14467 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laverne Pharmacy Management Inc | Current | Accepting new patients | |
| Shattuck Pharmacy Management Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Medic Pharmacy & Gifts
- Community/Retail Pharmacy
- Laverne, OK
- NPI 1043384431
-
dba Medic Pharmacy & Gifts
- Community/Retail Pharmacy
- Shattuck, OK
- NPI 1720163959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1306078613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 99",
"city": "SHATTUCK",
"state": "OK",
"postal_code": "738589604",
"telephone_number": "580-938-2854",
"fax_number": "580-938-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 S MAIN ST",
"city": "SHATTUCK",
"state": "OK",
"postal_code": "738589604",
"telephone_number": "580-938-2854",
"fax_number": "580-938-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "BRYAN",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shattuck, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.