Active NPI
Jason Robert Revel, PHARM.D.
- Pharmacist
- Warr Acres, OK
National Provider Identifier
1639347313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17446
- Practice address
- 5601 NW 72ND St Ste 142
Warr Acres, OK 73132-5924 - Phone
- (888) 773-8266
- Fax
- (888) 998-8267
- NPI assigned
- Feb 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-13915 | KS | |
| Pharmacist | 183500000X | 17446 | OK | Primary |
| Pharmacist | 183500000X | 2004032893 | MO |
Addresses
Primary practice location
5601 NW 72ND St Ste 142
Warr Acres, OK 73132-5924
Mailing address
5601 NW 72ND St Ste 142
Warr Acres, OK 73132-5924
Phone (888) 773-8266
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 |
|---|---|---|---|
| 1-13915 | KS | MD | Pharmacist |
| 2004032893 | MO | MD | Pharmacist |
| 17446 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revan Inc | Current | Accepting new patients | |
| Revan Health LLC | Current | Accepting new patients | |
| Peculiar Pharmacy LLC | Past | Accepting new patients |
Locations
5601 NW 72nd St
Ste 142
Warr Acres, OK 73132
Phone (405) 722-4400
5601 NW 72nd St
Ste 242
Warr Acres, OK 73132
Phone (888) 773-8267
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacy
- Warr Acres, OK
- NPI 1396208757
-
- Family Medicine Physician
- Warr Acres, OK
- NPI 1114540689
-
- Pharmacy
- Peculiar, MO
- NPI 1265419402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1639347313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 NW 72ND ST STE 142",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731325924",
"telephone_number": "888-773-8266",
"fax_number": "888-998-8267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 NW 72ND ST STE 142",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731325924",
"telephone_number": "888-773-8266",
"fax_number": "888-998-8267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVEL",
"first_name": "JASON",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-14",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-13915",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "17446",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2004032893",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warr Acres, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.