Individual provider Active NPI

Allan Benjamin Jeffy, DPH

  • Pharmacist
  • Tulsa, OK
National Provider Identifier
1609868660
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7791 Issued in OK
Practice address
1007 S Peoria Ave
Tulsa, OK 74120-4495
Phone
(918) 587-1101
Fax
(918) 858-0059
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7791 OK Primary

Addresses

Primary practice location

1007 S Peoria Ave
Tulsa, OK 74120-4495

Mailing address

6810 E 95TH St
Tulsa, OK 74133-5363
Phone (918) 494-3080

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
7791OKMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609868660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 E 95TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335363",
            "telephone_number": "918-494-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204495",
            "telephone_number": "918-587-1101",
            "fax_number": "918-858-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFY",
        "first_name": "ALLAN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "7791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.