Active NPI
Jennie Sanders
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1710538780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18562
- Practice address
- 8917 NE 23Rd St
Oklahoma City, OK 73141-2245 - Phone
- (405) 769-2712
- NPI assigned
- Sep 21, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 18562 | OK | Primary |
Addresses
Primary practice location
8917 NE 23Rd St
Oklahoma City, OK 73141-2245
Mailing address
8917 NE 23Rd St
Oklahoma City, OK 73141-2245
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 |
|---|---|---|---|
| 18562 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
8917 NE 23rd St
Oklahoma City, OK 73141
Phone (405) 568-0272
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569024000000",
"number": "1710538780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8917 NE 23RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731412245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8917 NE 23RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731412245",
"telephone_number": "405-769-2712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JENNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-21",
"last_updated": "2019-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "18562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.