Active NPI
Christen Lynn Schmidt, DPH
- Pharmacist
- Ft Supply, OK
National Provider Identifier
1366044117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11564
- Practice address
- 193461 E County Road 304
Ft Supply, OK 73841 - Phone
- (580) 733-2311
- Fax
- (580) 766-2316
- NPI assigned
- Nov 16, 2020
- 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 | 11564 | OK | Primary |
Addresses
Primary practice location
193461 E County Road 304
Ft Supply, OK 73841
Mailing address
216810 E County Road 43
Mooreland, OK 73852-5213
Phone (580) 216-0069
Other practice location 1
3215 Williams Ave
Woodward, OK 73801-6738
Phone (580) 256-0097
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Woodward, OK
- NPI 1598782625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1366044117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216810 E COUNTY ROAD 43",
"city": "MOORELAND",
"state": "OK",
"postal_code": "738525213",
"telephone_number": "580-216-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193461 E COUNTY ROAD 304",
"city": "FT SUPPLY",
"state": "OK",
"postal_code": "73841",
"telephone_number": "580-733-2311",
"fax_number": "580-766-2316"
}
],
"practiceLocations": [
{
"address_1": "3215 Williams Ave",
"address_purpose": "LOCATION",
"city": "Woodward",
"state": "OK",
"postal_code": "738016738",
"country_code": "US",
"telephone_number": "580-256-0097",
"fax_number": "580-256-1559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMIDT",
"first_name": "CHRISTEN",
"middle_name": "LYNN",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Supply, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.