Eileen Chiam, PHARMD
Individual provider Active NPI Pharmacist · Glenpool, OK
NPI 1699375956 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1699375956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14560 (OK)
- Practice address
- 12200 S Waco Ave
Glenpool, OK 74033-5655 - Phone
- (918) 299-8052
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 14560 | OK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14560 | OK | Yes |
Addresses
Primary practice location
12200 S Waco Ave
Glenpool, OK 74033-5655
Mailing address
7746 S Irvington Ave
Tulsa, OK 74136-8423
Other providers in Glenpool, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. 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.