Active NPI
Cindy Waleah Gillis, DPH
- Pharmacist
- Claremore, OK
National Provider Identifier
1497868228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10977
- Practice address
- 101 S Moore Ave
Claremore, OK 74017-5047 - Phone
- (918) 342-6489
- Fax
- (918) 342-6330
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10977 | OK | Primary |
Addresses
Primary practice location
101 S Moore Ave
Claremore, OK 74017-5047
Mailing address
23050 S Biswell Dr
Claremore, OK 74019-5161
Phone (918) 342-6489
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10977 | OK | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497868228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23050 S BISWELL DR",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740195161",
"telephone_number": "918-342-6489",
"fax_number": "918-342-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S MOORE AVE",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740175047",
"telephone_number": "918-342-6489",
"fax_number": "918-342-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIS",
"first_name": "CINDY",
"middle_name": "WALEAH",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "10977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.