Individual provider Active NPI

Tala Mae Bushyhead, PHARMD

  • Pharmacist
  • Stroud, OK
National Provider Identifier
1366341018
Registry record updated Oct 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21053 Issued in OK
Practice address
356110 E 930 Rd
Stroud, OK 74079-5184
Phone
(918) 968-9531
Fax
(918) 968-0353
NPI assigned
Oct 31, 2026
Last updated
Oct 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21053 OK Primary

Addresses

Primary practice location

356110 E 930 Rd
Stroud, OK 74079-5184

Mailing address

356110 E 930 Rd
Stroud, OK 74079-5184
Phone (918) 968-9531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793404800000",
    "number": "1366341018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356110 E 930 RD",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740795184",
            "telephone_number": "918-968-9531",
            "fax_number": "918-968-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356110 E 930 RD",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740795184",
            "telephone_number": "918-968-9531",
            "fax_number": "918-968-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHYHEAD",
        "first_name": "TALA",
        "middle_name": "MAE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-31",
        "last_updated": "2026-10-31",
        "certification_date": "2026-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "21053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroud, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.