Active NPI
Michael Terry Canaday, PHARMACIST
- Pharmacist
- Tulsa, OK
National Provider Identifier
1437618477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14624
- Practice address
- 1823 S Carson Ave
Tulsa, OK 74119-5007 - Phone
- (918) 630-1774
- Fax
- (918) 583-7747
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2009027306 | MO | |
| Pharmacist | 183500000X | 14624 | OK | Primary |
Addresses
Primary practice location
1823 S Carson Ave
Tulsa, OK 74119-5007
Mailing address
6850 E 54TH St
Tulsa, OK 74145-7511
Phone (918) 344-6974
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009027306 | MO | MD | Pharmacist |
| 14624 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1437618477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 E 54TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741457511",
"telephone_number": "918-344-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 S CARSON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741195007",
"telephone_number": "918-630-1774",
"fax_number": "918-583-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADAY",
"first_name": "MICHAEL",
"middle_name": "TERRY",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2009027306",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.