Active NPI
Dwight Forbis
- Pharmacist
- Tishomingo, OK
National Provider Identifier
1346128147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20036
- Practice address
- 817 E 6TH St
Tishomingo, OK 73460-1800 - Phone
- (580) 371-2361
- NPI assigned
- Aug 21, 2025
- 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 | 20036 | OK | Primary |
Addresses
Primary practice location
817 E 6TH St
Tishomingo, OK 73460-1800
Mailing address
1618 Treaty Rd
Calera, OK 74730-4522
Phone (580) 980-9999
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 |
|---|---|---|---|
| 20036 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1346128147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 TREATY RD",
"city": "CALERA",
"state": "OK",
"postal_code": "747304522",
"telephone_number": "580-980-9999",
"fax_number": "580-371-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 E 6TH ST",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "734601800",
"telephone_number": "580-371-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBIS",
"first_name": "DWIGHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "20036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tishomingo, OK
- Family Health Center of Southern Oklahoma Inc
- Family Health Center of Southern Oklahoma Inc
- Family Health Center of Southern Oklahoma Inc
- Randal Coy Flinn
- Kristi Ann Forbes, BHCM1,C-PRSS
- Marnita Foster, LMT
- Miranda Lee Frazer, FSP
- Gina Marice Frazier, LPC
- Amy Quinn Gamble, APRN-CNP
- Clayton Andrew Garrett, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.