Individual provider Active NPI

Jason Robert Revel, PHARM.D.

  • Pharmacist
  • Warr Acres, OK
National Provider Identifier
1639347313
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17446 Issued in OK
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

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1-13915KSMDPharmacist
2004032893MOMDPharmacist
17446OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Revan Inc CurrentSince Aug 25, 2019 Accepting new patients
Revan Health LLC CurrentSince May 24, 2020 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.

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.

Verify at the official NPI Registry.