Active NPI
Brandon Heath Cryer, PHARMD
- Pharmacist
- Lawton, OK
National Provider Identifier
1629796198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19764
- Practice address
- 3612 SE Lee Blvd
Lawton, OK 73501-8451 - Phone
- (580) 355-6400
- NPI assigned
- Aug 19, 2022
- 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 | 19764 | OK | Primary |
Addresses
Primary practice location
3612 SE Lee Blvd
Lawton, OK 73501-8451
Mailing address
PO Box 255
Tipton, OK 73570-0255
Phone (580) 471-7824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19764 | Other | OK | OKLAHOMA 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19764 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Clinic Pharmacy | Current | Accepting new patients | |
| Eastside Clinic Pharmacy | Past | Accepting new patients | |
| Oklahoma CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients |
Locations
3612 SE Lee Blvd
Lawton, OK 73501
Phone (580) 355-6400
Organizations & group practices 4
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.
-
dba Eastside Pharmacy LTC
- Long Term Care Pharmacy
- Lawton, OK
- NPI 1427841360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703980800000",
"number": "1629796198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255",
"city": "TIPTON",
"state": "OK",
"postal_code": "735700255",
"telephone_number": "580-471-7824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 SE LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735018451",
"telephone_number": "580-355-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRYER",
"first_name": "BRANDON",
"middle_name": "HEATH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-19",
"last_updated": "2023-12-31",
"certification_date": "2023-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "19764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE BOARD OF PHARMACY",
"identifier": "19764",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.