Active NPI
Kaileen D Skidgel, PHARM D
- Pharmacist
- Pawnee, OK
National Provider Identifier
1386858769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13129
- Practice address
- 1201 Heritage Cir
Pawnee, OK 74058-3744 - Phone
- (918) 762-6550
- NPI assigned
- May 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13129 | OK | Primary |
Addresses
Primary practice location
1201 Heritage Cir
Pawnee, OK 74058-3744
Mailing address
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-6550
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 |
|---|---|---|---|
| 13129 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawnee Indian Health Center | Current | Accepting new patients | |
| Pawnee IHS Pharmacy | Current | Accepting new patients |
Locations
1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517
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.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Pawnee, OK
- NPI 1124178017
-
- Clinic/Center
- Pawnee, OK
- NPI 1629174081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386858769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 HERITAGE CIR",
"city": "PAWNEE",
"state": "OK",
"postal_code": "740583744",
"telephone_number": "918-762-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 HERITAGE CIR",
"city": "PAWNEE",
"state": "OK",
"postal_code": "740583744",
"telephone_number": "918-762-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIDGEL",
"first_name": "KAILEEN",
"middle_name": "D",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.