Active NPI
Lauren Elizabeth Raczkowski, PHARMD
- Pharmacist
- Warr Acres, OK
National Provider Identifier
1386368603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18637
- Practice address
- 4026 N Macarthur Blvd
Warr Acres, OK 73122-3015 - Phone
- (405) 789-0101
- NPI assigned
- Sep 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18637 | OK | Primary |
Addresses
Primary practice location
4026 N Macarthur Blvd
Warr Acres, OK 73122-3015
Mailing address
4026 N Macarthur Blvd
Warr Acres, OK 73122-3015
Phone (405) 789-0101
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18637 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients | |
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1386368603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4026 N MACARTHUR BLVD",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731223015",
"telephone_number": "405-789-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4026 N MACARTHUR BLVD",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731223015",
"telephone_number": "405-789-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACZKOWSKI",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-29",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "18637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warr Acres, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.