Individual provider Active NPI

Alicia R Easlon, PHARM D

  • Pharmacist
  • Owasso, OK
National Provider Identifier
1699802876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13448 Issued in OK
Practice address
11815 E 86TH St N
Owasso, OK 74055-2536
Phone
(918) 272-3030
Fax
(918) 272-5353
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13448 OK Primary

Addresses

Primary practice location

11815 E 86TH St N
Owasso, OK 74055-2536

Mailing address

11802 Valley Ave
Collinsville, OK 74021-6446
Phone (918) 371-5456

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
13448OKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699802876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 VALLEY AVE",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740216446",
            "telephone_number": "918-371-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552536",
            "telephone_number": "918-272-3030",
            "fax_number": "918-272-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLON",
        "first_name": "ALICIA",
        "middle_name": "R",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, 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.

Verify at the official NPI Registry.