Active NPI
Steven C Vaughan, DPH
- Pharmacist
- Altus, OK
National Provider Identifier
1528041340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10525
- Practice address
- 1200 E Pecan St
Altus, OK 73521-6141 - Phone
- (580) 379-5706
- Fax
- (580) 379-5709
- NPI assigned
- Nov 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 10525 | OK | Primary |
Addresses
Primary practice location
1200 E Pecan St
Altus, OK 73521-6141
Mailing address
42494 E County Road 1510
Blair, OK 73526-5010
Phone (580) 563-2527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10525 | Other | OK | STATE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 10525 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1528041340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42494 E COUNTY ROAD 1510",
"city": "BLAIR",
"state": "OK",
"postal_code": "735265010",
"telephone_number": "580-563-2527",
"fax_number": "580-379-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E PECAN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735216141",
"telephone_number": "580-379-5706",
"fax_number": "580-379-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "STEVEN",
"middle_name": "C",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "10525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "10525",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.