Active NPI
Justin Feese, PHARMD
- Pharmacist
- Moore, OK
National Provider Identifier
1427561471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14852
- Practice address
- 800 SE 4TH St
Moore, OK 73160-7210 - Phone
- (405) 794-1539
- Fax
- (405) 794-5804
- NPI assigned
- Nov 13, 2017
- Last updated
- Nov 13, 2017
- Sex
- Male
- 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 | 14852 | OK | Primary |
Addresses
Primary practice location
800 SE 4TH St
Moore, OK 73160-7210
Mailing address
800 SE 4TH St
Moore, OK 73160-7210
Phone (405) 794-1539
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 |
|---|---|---|---|
| 14852 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1427561471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SE 4TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731607210",
"telephone_number": "405-794-1539",
"fax_number": "405-794-5804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SE 4TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731607210",
"telephone_number": "405-794-1539",
"fax_number": "405-794-5804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEESE",
"first_name": "JUSTIN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-13",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.