Active NPI
Theresa June Jones, DPH
- Pharmacist
- Muskogee, OK
National Provider Identifier
1669568218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9119
- Practice address
- 1011 Honor Heights Dr
Muskogee, OK 74401 - Phone
- (918) 683-3261
- Fax
- (918) 680-3998
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- 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 | 9119 | OK | Primary |
Addresses
Primary practice location
1011 Honor Heights Dr
Muskogee, OK 74401
Mailing address
30114 E. 676 Rd
Wagoner, OK 74467
Phone (918) 683-3261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9119 | Other | OK | STATE LICENSE (PHARMACIST |
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 |
|---|---|---|---|
| 9119 | OK | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669568218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30114 E. 676 RD",
"city": "WAGONER",
"state": "OK",
"postal_code": "74467",
"telephone_number": "918-683-3261",
"fax_number": "918-680-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 HONOR HEIGHTS DR",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "74401",
"telephone_number": "918-683-3261",
"fax_number": "918-680-3998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "THERESA",
"middle_name": "JUNE",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "9119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE (PHARMACIST",
"identifier": "9119",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, 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.