Active NPI
Amanda Louise Viso, PHARMD
- Pharmacist
- Tulsa, OK
National Provider Identifier
1730466111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13288
- Practice address
- 1919 S Wheeling Ave Ste 106
Tulsa, OK 74104-5637 - Phone
- (918) 748-7699
- Fax
- (918) 748-7696
- NPI assigned
- Nov 13, 2011
- 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 | 13288 | OK | Primary |
Addresses
Primary practice location
1919 S Wheeling Ave Ste 106
Tulsa, OK 74104-5637
Mailing address
1919 S Wheeling Ave Ste 106
Tulsa, OK 74104-5637
Phone (918) 748-7699
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13288 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utica Services Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1730466111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S WHEELING AVE STE 106",
"city": "TULSA",
"state": "OK",
"postal_code": "741045637",
"telephone_number": "918-748-7699",
"fax_number": "918-748-7696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S WHEELING AVE STE 106",
"city": "TULSA",
"state": "OK",
"postal_code": "741045637",
"telephone_number": "918-748-7699",
"fax_number": "918-748-7696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISO",
"first_name": "AMANDA",
"middle_name": "LOUISE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-13",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.