Active NPI
Dylan Cudd, PHARM.D
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1649993163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19811
- Practice address
- 700 NE 13TH St
Oklahoma City, OK 73104-5004 - Phone
- (405) 271-4700
- NPI assigned
- Sep 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19811 | OK | Primary |
Addresses
Primary practice location
700 NE 13TH St
Oklahoma City, OK 73104-5004
Mailing address
3160 NW 25TH St
Oklahoma City, OK 73107-1912
Phone (405) 708-8447
Other practice location 1
3401 N May Ave
Oklahoma City, OK 73112-6952
Phone (405) 843-6691
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 |
|---|---|---|---|
| 19811 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1649993163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 NW 25TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731071912",
"telephone_number": "405-708-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE 13TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045004",
"telephone_number": "405-271-4700"
}
],
"practiceLocations": [
{
"address_1": "3401 N May Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731126952",
"country_code": "US",
"telephone_number": "405-843-6691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUDD",
"first_name": "DYLAN",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "19811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.