Active NPI
Katey Carter, DPH, MBA
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1679030761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17368
- Practice address
- 10601 S May Ave Ste 11
Oklahoma City, OK 73170-2501 - Phone
- (405) 378-7171
- Fax
- (405) 378-7176
- NPI assigned
- Feb 25, 2019
- 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 | 17368 | OK | Primary |
Addresses
Primary practice location
10601 S May Ave Ste 11
Oklahoma City, OK 73170-2501
Mailing address
10601 S May Ave Ste 11
Oklahoma City, OK 73170-2501
Phone (405) 378-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200293490A | Medicaid | OK |
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
- Master of Business Administration
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crest RX LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1679030761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10601 S MAY AVE STE 11",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731702501",
"telephone_number": "405-378-7171",
"fax_number": "405-378-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10601 S MAY AVE STE 11",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731702501",
"telephone_number": "405-378-7171",
"fax_number": "405-378-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "KATEY",
"name_prefix": "Dr.",
"credential": "DPH, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "17368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200293490A",
"state": "OK"
}
],
"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 Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.