Philip Joe Rose, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10782 Issued in OK

Practice address

5401 Tinker Diag St
Del City, OK 73115-4622

Phone

(405) 670-1030

Fax

(405) 670-1036

NPI assigned

Nov 23, 2020

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1407450257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 MOORGATE CIR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729783",
            "telephone_number": "405-314-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 TINKER DIAG ST",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731154622",
            "telephone_number": "405-670-1030",
            "fax_number": "405-670-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "PHILIP",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "10782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Deauntra Rideau
• Austin Roberson
• Kourtney Roberson
• Delana Michelle Rodgers, APRN-FNP-C
• Bryana Roop-Melton
• Renee Roy, MD
• Samuel C. Sigmon, DDS, PC
• Andre Ramone Sanders, NONE
• Mark John Schalk, RN
• Gary Schultz

• Pharmacist in Del City, OK
• Providers in Del City, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.