Macey Renee Hall, PHARMD
Individual provider Active NPI Pharmacist · Cushing, OK
NPI 1669168159 · NPPES record last updated Apr 17, 2023
Key facts
- NPI
- 1669168159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20038 (OK)
- Practice address
- 3100 E Main St
Cushing, OK 74023-3072 - Phone
- (918) 225-6320
- NPI assigned
- Apr 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20038 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past |
Accepting new patients | |
| Wal-Mart Stores East LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20038 | OK | Yes |
Addresses
Primary practice location
3100 E Main St
Cushing, OK 74023-3072
Mailing address
3100 E Main St
Cushing, OK 74023-3072
Phone (918) 225-6320
Other providers in Cushing, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.