Active NPI
Clinical Pharmacists LLC
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1740969286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CLINICAL PHARMACISTS LLC
- Practice address
- 415 W Wilshire Blvd Ste a
Oklahoma City, OK 73116-7702 - Phone
- (405) 570-9496
- Fax
- (405) 840-5274
- NPI assigned
- Jul 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Cudd
- Title
- Owner
- Phone
- (405) 763-8222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
415 W Wilshire Blvd Ste a
Oklahoma City, OK 73116-7702
Mailing address
415 W Wilshire Blvd Ste a
Oklahoma City, OK 73116-7702
Phone (405) 570-9496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, WI, MN
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230918001604 | OK | Part B Supplier - Clinic/Group Practice | 4183088685 |
Receives reassigned benefits from 3 practitioners Practice locations: Oklahoma City, OK |
| O20260126001516 | WI | Part B Supplier - Clinic/Group Practice | 4183088685 |
Receives reassigned benefits from 1 practitioner Practice locations: Green Bay, WI |
| O20260507001936 | MN | Part B Supplier - Clinic/Group Practice | 4183088685 |
Receives reassigned benefits from 1 practitioner Practice locations: Owatonna, MN |
National Provider Directory
National Provider DirectoryLocations
1900 NW Expressway
Ste 800
Oklahoma City, OK 73118
Phone (405) 246-0812
415 W Wilshire Blvd
Ste A
Oklahoma City, OK 73116
Phone (405) 570-9496
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Middleton, WI
- NPI 1164154399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1740969286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W WILSHIRE BLVD STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167702",
"telephone_number": "405-570-9496",
"fax_number": "405-840-5274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W WILSHIRE BLVD STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167702",
"telephone_number": "405-570-9496",
"fax_number": "405-840-5274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL PHARMACISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-12",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "CUDD",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-763-8222"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"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 Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.