Active NPI
Mytram Wheeler, PHARM D
- Pharmacist
- Edmond, OK
National Provider Identifier
1548861438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15280
- Practice address
- 2200 W Danforth Rd
Edmond, OK 73003-4600 - Phone
- (405) 216-0525
- NPI assigned
- Nov 5, 2020
- 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 | 15280 | OK | Primary |
Addresses
Primary practice location
2200 W Danforth Rd
Edmond, OK 73003-4600
Mailing address
18805 Windy Way Rd
Edmond, OK 73012-1276
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 |
|---|---|---|---|
| 15280 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1548861438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18805 WINDY WAY RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730121276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W DANFORTH RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730034600",
"telephone_number": "405-216-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "MYTRAM",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.