Individual provider Active NPI

Erica Pembrook, CPHT

  • Pharmacy Technician
  • Muskogee, OK
National Provider Identifier
1538039730
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
22675 Issued in OK
Practice address
410 S 32ND St
Muskogee, OK 74401-5007
Phone
(918) 683-0611
NPI assigned
Nov 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 22675 OK Primary

Addresses

Primary practice location

410 S 32ND St
Muskogee, OK 74401-5007

Mailing address

428 Fairfax Dr
Muskogee, OK 74403-8325

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
22675OKMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ernie'S Pharmacy & Wellness Center, Inc. CurrentSince Nov 18, 2025 Accepting new patients
Ernies Pharmacy & Wellness Center PastSince Nov 18, 2025 Accepting new patients

Locations

410 S 32nd St
Muskogee, OK 74401
Phone (918) 683-0611

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": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1538039730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 FAIRFAX DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744038325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S 32ND ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015007",
            "telephone_number": "918-683-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBROOK",
        "first_name": "ERICA",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OK",
            "license": "22675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.