Active NPI
Cindy R Fain
- Pharmacist
- Midwest City, OK
National Provider Identifier
1730964255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10979
- Practice address
- 6521 SE 29TH St
Midwest City, OK 73110-3048 - Phone
- (405) 737-7467
- Fax
- (405) 737-7457
- NPI assigned
- Aug 31, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10979 | OK | Primary |
| Pharmacist | 183500000X | PD14242 | AR |
Addresses
Primary practice location
6521 SE 29TH St
Midwest City, OK 73110-3048
Mailing address
6521 SE 29TH St
Midwest City, OK 73110-3048
Phone (405) 737-7467
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 |
|---|---|---|---|
| PD14242 | AR | MD | Pharmacist |
| 10979 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1730964255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6521 SE 29TH ST",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731103048",
"telephone_number": "405-737-7467",
"fax_number": "405-737-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6521 SE 29TH ST",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731103048",
"telephone_number": "405-737-7467",
"fax_number": "405-737-7457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIN",
"first_name": "CINDY",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "10979",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14242",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.