Active NPI
Pamela Jorene West, R.PH.
- Pharmacist
- Sallisaw, OK
National Provider Identifier
1700040201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11284
- Practice address
- 301 J T Stites Blvd
Sallisaw, OK 74955-9302 - Phone
- (918) 774-1422
- Fax
- (918) 774-0915
- NPI assigned
- Jul 14, 2008
- 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 | 11284 | OK | Primary |
Addresses
Primary practice location
301 J T Stites Blvd
Sallisaw, OK 74955-9302
Mailing address
301 J T Stites Blvd
Sallisaw, OK 74955-9302
Phone (918) 774-1422
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11284 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | 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.
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1700040201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 J T STITES BLVD",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749559302",
"telephone_number": "918-774-1422",
"fax_number": "918-774-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 J T STITES BLVD",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749559302",
"telephone_number": "918-774-1422",
"fax_number": "918-774-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "PAMELA",
"middle_name": "JORENE",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sallisaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.