Individual provider Active NPI

Gaozoua Nalee Thao, CPHT

  • Pharmacy Technician
  • Claremore, OK
National Provider Identifier
1487248233
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
T7885 Issued in OK
Practice address
1500 S Lynn Riggs Blvd
Claremore, OK 74017-8399
Phone
(918) 341-5181
Fax
(918) 341-4888
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T7885 OK Primary

Addresses

Primary practice location

1500 S Lynn Riggs Blvd
Claremore, OK 74017-8399

Mailing address

1178 W 410 Rd
Adair, OK 74330-3267
Phone (651) 788-5129

Other identifiers 1

IdentifierTypeStateIssuer
742769OtherOKNABP

Other names 1

  • Gaozoua Nalee Thao Other name

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
T7885OKMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP PastSince Mar 4, 2021 Accepting new patients
Wal-Mart Stores East, LP PastSince Mar 4, 2021 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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1487248233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 W 410 RD",
            "city": "ADAIR",
            "state": "OK",
            "postal_code": "743303267",
            "telephone_number": "651-788-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LYNN RIGGS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740178399",
            "telephone_number": "918-341-5181",
            "fax_number": "918-341-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "GAOZOUA",
        "middle_name": "NALEE",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OK",
            "license": "T7885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "742769",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAOZOUA",
            "last_name": "THAO",
            "middle_name": "NALEE",
            "credential": "NALEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.