Active NPI
Lorissa Thomas, PHARM.D.
- Compounded Sterile Preparations Pharmacist
- Oklahoma City, OK
National Provider Identifier
1487412540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounded Sterile Preparations Pharmacist
- License
- 13730
- Practice address
- 7512 Broadway Ext Ste 308
Oklahoma City, OK 73116-9055 - Phone
- (405) 212-5669
- Fax
- (405) 653-9445
- NPI assigned
- Mar 12, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Compounded Sterile Preparations Pharmacist | 1835C0207X | 13730 | OK | Primary |
Addresses
Primary practice location
7512 Broadway Ext Ste 308
Oklahoma City, OK 73116-9055
Mailing address
601 E Victoria Ter
Mustang, OK 73064-9474
Phone (405) 881-8794
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1487412540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E VICTORIA TER",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730649474",
"telephone_number": "405-881-8794",
"fax_number": "405-653-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7512 BROADWAY EXT STE 308",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731169055",
"telephone_number": "405-212-5669",
"fax_number": "405-653-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LORISSA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0207X",
"taxonomy_group": "",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": "OK",
"license": "13730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.