Active NPI
Marla D Carter, DPH
- Pharmacist
- Shawnee, OK
National Provider Identifier
1649330903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12835
- Practice address
- 430 N Tucker Ave
Shawnee, OK 74801-7170 - Phone
- (405) 275-0426
- Fax
- (405) 275-0476
- NPI assigned
- Dec 9, 2006
- Sex
- Female
- 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 | 12835 | OK | Primary |
Addresses
Primary practice location
430 N Tucker Ave
Shawnee, OK 74801-7170
Mailing address
3051 Blue Ridge Dr
Norman, OK 73026-4522
Phone (405) 990-2909
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12835 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Discount Drug | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Shawnee, OK
- NPI 1477612851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649330903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 BLUE RIDGE DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730264522",
"telephone_number": "405-990-2909",
"fax_number": "405-872-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N TUCKER AVE",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748017170",
"telephone_number": "405-275-0426",
"fax_number": "405-275-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MARLA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "12835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.