Individual provider Active NPI

Lisa Aileen Owens, DPH

  • Pharmacist
  • Tulsa, OK
National Provider Identifier
1366517575
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10497 Issued in OK
Practice address
7302 S Yale Ave Ste 101
Tulsa, OK 74136
Phone
(918) 392-3366
Fax
(918) 392-2950
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X 10497 OK
Pharmacist 183500000X 10497 OK Primary

Addresses

Primary practice location

7302 S Yale Ave Ste 101
Tulsa, OK 74136

Mailing address

2300 W Waco St
Broken Arrow, OK 74011-1509
Phone (918) 455-5513

Other practice location 1

2325 S Harvard Ave
Suite 400
Tulsa, OK 74114-3300
Phone (918) 712-3407 ext. 6441

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

LicenseStateTypeSpecialty
10497OKMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence RX Inc CurrentSince Oct 24, 2021 Accepting new patients
RX Concepts LLC Past Accepting new patients
FMC Pharmacy LLC Past Accepting new patients

Locations

7302 S Yale Ave
Ste 101
Tulsa, OK 74136
Phone (918) 392-3366

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1366517575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W WACO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111509",
            "telephone_number": "918-455-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7302 S YALE AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-392-3366",
            "fax_number": "918-392-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 S Harvard Ave",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741143300",
            "country_code": "US",
            "telephone_number": "918-712-3407 x6441",
            "fax_number": "918-712-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "LISA",
        "middle_name": "AILEEN",
        "name_prefix": "Mrs.",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "OK",
            "license": "10497",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "10497",
            "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 Aug 23, 2018; 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.