Active NPI
Shay Austin Pratt, RPH
- Pharmacist
- Kingfisher, OK
National Provider Identifier
1457901159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18461
- Practice address
- 1309 S Main St
Kingfisher, OK 73750-4402 - Phone
- (405) 375-6300
- Fax
- (405) 375-6340
- NPI assigned
- Sep 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18461 | OK | Primary |
Addresses
Primary practice location
1309 S Main St
Kingfisher, OK 73750-4402
Mailing address
1309 S Main St
Kingfisher, OK 73750-4402
Phone (405) 375-6300
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18461 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rjrx3 LLC | Past | Accepting new patients | |
| Heritage 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1457901159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 S MAIN ST",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "737504402",
"telephone_number": "405-375-6300",
"fax_number": "405-375-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 S MAIN ST",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "737504402",
"telephone_number": "405-375-6300",
"fax_number": "405-375-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "SHAY",
"middle_name": "AUSTIN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "18461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingfisher, OK
- Oklahoma Mental Health Council (Red Rock Behavioral Health Services, Inc.)
- Rick M Overton, PHARM.D.
- Josi Oxendine
- Gary E Palmer, D.C.
- Brandi Lyn Parker, MS, CCC-SLP
- PTMS 3.0, LLC (Physical Therapy Central of Kingfisher)
- David Crisologo Quitoriano, P.T., D.P.T.
- R & a Family Wellness LLC (R & A Family Wellness)
- Latisha Ramos
- Red Rock Behavioral Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.