Active NPI
Polly Gretchen Robinson, PHARMD
- Pharmacist
- Tulsa, OK
National Provider Identifier
1497392476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12549
- Practice address
- W 2ND St., Suite 100
Communitycare
Tulsa, OK 74103 - Phone
- (918) 594-5200
- NPI assigned
- Dec 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Managed Care Organization Pharmacy | 3336M0003X | OK | ||
| Pharmacist | 183500000X | 12549 | OK | Primary |
Addresses
Primary practice location
W 2ND St., Suite 100
Communitycare
Tulsa, OK 74103
Mailing address
1414 S Rockford Ave
Tulsa, OK 74120-5810
Phone (918) 629-2126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12549 | Other | OK | PHARMACY LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | probinson@ccok.com | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12549 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1497392476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 S ROCKFORD AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741205810",
"telephone_number": "918-629-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W 2ND ST., SUITE 100",
"address_2": "COMMUNITYCARE",
"city": "TULSA",
"state": "OK",
"postal_code": "74103",
"telephone_number": "918-594-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "POLLY",
"middle_name": "GRETCHEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "12549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "12549",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "probinson@ccok.com",
"affiliation": "N",
"endpointDescription": "community care e-mail",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "e-mail",
"address_1": "Williams Center Tower II, W 2nd St Suite 100",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "74103",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 9, 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.