Kylie Roberts, PHARMD
Individual provider Active NPI Pharmacist · Nichols Hills, OK
NPI 1407690332 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1407690332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20180 (OK)
- Practice address
- 7600 N Western Ave
Nichols Hills, OK 73116-7016 - Phone
- (405) 843-9501
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20180 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharm Nichols Hills Acquisition LLC | Current |
Accepting new patients |
Locations
7600 N Western Ave
Oklahoma City, OK 73116
Phone (405) 843-9501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20180 | OK | Yes |
Addresses
Primary practice location
7600 N Western Ave
Nichols Hills, OK 73116-7016
Mailing address
7600 N Western Ave
Nichols Hills, OK 73116-7016
Phone (405) 843-9501
Other providers in Nichols Hills, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.