Active NPI
Joann Lam
- Pharmacist
- Moore, OK
National Provider Identifier
1568936862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R-18232
- Practice address
- 1041 SW 19TH St
Moore, OK 73160-2806 - Phone
- (405) 793-1803
- NPI assigned
- Jan 20, 2019
- 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 | R-18232 | OK | Primary |
Addresses
Primary practice location
1041 SW 19TH St
Moore, OK 73160-2806
Mailing address
21 Danfield Dr
Oklahoma City, OK 73149-1809
Phone (405) 202-4713
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 |
|---|---|---|---|
| R-18232 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1547942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547942400000",
"number": "1568936862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 DANFIELD DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731491809",
"telephone_number": "405-202-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 SW 19TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731602806",
"telephone_number": "405-793-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "JOANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-20",
"last_updated": "2019-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "R-18232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.