Individual provider Active NPI

Michael Terry Canaday, PHARMACIST

  • Pharmacist
  • Tulsa, OK
National Provider Identifier
1437618477
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14624 Issued in OK
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

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2009027306MOMDPharmacist
14624OKMDPharmacist

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.

Verify at the official NPI Registry.