Individual provider Active NPI

Jeremy McAnerney, PHARMD

  • Pharmacist
  • Moore, OK
National Provider Identifier
1699366583
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18827 Issued in OK
Practice address
1201 NW 12TH St
Moore, OK 73170-1220
Phone
(405) 799-1081
NPI assigned
Feb 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16940 NE
Pharmacist 183500000X 18827 OK Primary

Addresses

Primary practice location

1201 NW 12TH St
Moore, OK 73170-1220

Mailing address

12722 N Macarthur Blvd Apt J
Oklahoma City, OK 73142-2913
Phone (405) 655-0961

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

LicenseStateTypeSpecialty
16940NEMDPharmacist
18827OKMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1699366583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12722 N MACARTHUR BLVD APT J",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422913",
            "telephone_number": "405-655-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NW 12TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731701220",
            "telephone_number": "405-799-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANERNEY",
        "first_name": "JEREMY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "16940",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "18827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.