Active NPI
Austin Wayne Crissman, PHARM.D, MBA, BCPS
- Infusion Therapy Clinic/Center
- Norman, OK
National Provider Identifier
1386103190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Practice address
- 3411 W Rock Creek Rd Ste 120
Norman, OK 73072-2466 - Phone
- (572) 229-4676
- Fax
- (572) 229-8171
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | OK | ||
| Infusion Therapy Clinic/Center | 261QI0500X | OK | Primary | |
| Pharmacotherapy Pharmacist | 1835P1200X | 18919 | OK | |
| Compounded Sterile Preparations Pharmacist | 1835C0207X | 18919 | OK |
Addresses
Primary practice location
3411 W Rock Creek Rd Ste 120
Norman, OK 73072-2466
Mailing address
3411 W Rock Creek Rd Ste 120
Norman, OK 73072-2466
Phone (572) 229-4676
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
- Credentials
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18919 | OK | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1386103190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 W ROCK CREEK RD STE 120",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722466",
"telephone_number": "572-229-4676",
"fax_number": "572-229-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 W ROCK CREEK RD STE 120",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722466",
"telephone_number": "572-229-4676",
"fax_number": "572-229-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISSMAN",
"first_name": "AUSTIN",
"middle_name": "WAYNE",
"credential": "PHARM.D, MBA, BCPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": "OK",
"license": null,
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "OK",
"license": "18919",
"primary": false
},
{
"code": "1835C0207X",
"taxonomy_group": "",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": "OK",
"license": "18919",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.