Terry Siribandan

Primary specialty

PharmacistTaxonomy code 183500000X

License

10249 Issued in OK

Practice address

1500 S Lynn Riggs Blvd
Claremore, OK 74017-8399

Phone

(918) 341-5181

Fax

(918) 341-4888

NPI assigned

Oct 28, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Claremore, OK
  • NPI 1942227053
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1639779812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19212 E KNIGHTSBRIDGE RD",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558133",
            "telephone_number": "918-557-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LYNN RIGGS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740178399",
            "telephone_number": "918-341-5181",
            "fax_number": "918-341-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIBANDAN",
        "first_name": "TERRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "10249",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "35429",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "7951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Maria Ann Siereveld, NP-C
• Armond Silas
• Amanda Lin Simpson, APRN, CNP
• Kaysie Danielle Simpson, LPN
• Lauren Simpson
• Jenilee Skidmore, APRN, CNM
• Samantha Ashley Skinner, REGISTERED NURSE
• Deborah Anne Skinstad, M.A.
• Daniel Slanker, DDS
• Daniel Lane Smart, DPH

• Pharmacist in Claremore, OK
• Providers in Claremore, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.