Active NPI
Teri Suzanne O'Brien, CPHT
- Pharmacy Technician
- Muskogee, OK
National Provider Identifier
1366190241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30184259
- Practice address
- 100 N 32ND St
Muskogee, OK 74401-2101 - Phone
- (918) 687-1319
- Fax
- (918) 687-3440
- NPI assigned
- Mar 10, 2022
- Last updated
- Mar 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 24523 | OK | |
| Pharmacy Technician | 183700000X | 30184259 | OK | Primary |
Addresses
Primary practice location
100 N 32ND St
Muskogee, OK 74401-2101
Mailing address
101 N David LN Apt 201
Muskogee, OK 74403-5021
Phone (918) 360-1193
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30184259 | Other | OK | CPHT LICENSE |
| 24523 | Other | OK | OKLAHOMA BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 24523 | OK | MD | Pharmacy Technician |
| 30184259 | OK | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
100 N 32nd St
Muskogee, OK 74401
Phone (918) 687-1319
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1366190241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N DAVID LN APT 201",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744035021",
"telephone_number": "918-360-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N 32ND ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012101",
"telephone_number": "918-687-1319",
"fax_number": "918-687-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "TERI",
"middle_name": "SUZANNE",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-10",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OK",
"license": "24523",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OK",
"license": "30184259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPHT LICENSE",
"identifier": "30184259",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA BOARD OF PHARMACY",
"identifier": "24523",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.