Individual provider Active NPI

Jason Hart, PHARM.D

  • Pharmacist
  • Tulsa, OK
National Provider Identifier
1356621825
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14701 Issued in OK
Practice address
11332 E 31St St
Tulsa, OK 74146-1905
Phone
(918) 622-9684
NPI assigned
Aug 27, 2011
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14701 OK Primary

Addresses

Primary practice location

11332 E 31St St
Tulsa, OK 74146-1905

Mailing address

8809 S 66TH East Ave
Tulsa, OK 74133-5069
Phone (918) 809-1321

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

LicenseStateTypeSpecialty
14701OKMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Up RX - LLC CurrentSince Feb 1, 2023 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

11240 E 17th Pl
Tulsa, OK 74128
Phone (918) 398-5588

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1356621825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8809 S 66TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335069",
            "telephone_number": "918-809-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11332 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741461905",
            "telephone_number": "918-622-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-27",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14701",
            "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 Feb 3, 2023; 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.