Active NPI
Lisa Standridge
- Pharmacist
- Blanchard, OK
National Provider Identifier
1699333716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11874
- Practice address
- 1203 N Council Rd
Blanchard, OK 73010-8000 - Phone
- (405) 485-2112
- Fax
- (405) 485-8661
- NPI assigned
- Jun 4, 2019
- 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 | 11874 | OK | Primary |
Addresses
Primary practice location
1203 N Council Rd
Blanchard, OK 73010-8000
Mailing address
PO Box 786
Blanchard, OK 73010-0786
Phone (405) 485-2112
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 |
|---|---|---|---|
| 11874 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1699333716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 786",
"city": "BLANCHARD",
"state": "OK",
"postal_code": "730100786",
"telephone_number": "405-485-2112",
"fax_number": "405-485-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 N COUNCIL RD",
"city": "BLANCHARD",
"state": "OK",
"postal_code": "730108000",
"telephone_number": "405-485-2112",
"fax_number": "405-485-8661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDRIDGE",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blanchard, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.