Individual provider Active NPI

Christen Lynn Schmidt, DPH

  • Pharmacist
  • Ft Supply, OK
National Provider Identifier
1366044117
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11564 Issued in OK
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

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.