Individual provider Active NPI

Brandy Jo Ward

  • Pharmacist
  • Owasso, OK
National Provider Identifier
1750684635
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14100 Issued in OK
Practice address
11550 N 135TH East Ave
Owasso, OK 74055-5753
Phone
(918) 371-6455
Fax
(918) 371-6453
NPI assigned
Dec 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14100 OK Primary

Addresses

Primary practice location

11550 N 135TH East Ave
Owasso, OK 74055-5753

Mailing address

11550 N 135TH East Ave
Owasso, OK 74055-5753
Phone (918) 371-6455

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

LicenseStateTypeSpecialty
14100OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookshire Grocery Company Past Accepting new patients
Brookshire Grocery Company Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1750684635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 N 135TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555753",
            "telephone_number": "918-371-6455",
            "fax_number": "918-371-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 N 135TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555753",
            "telephone_number": "918-371-6455",
            "fax_number": "918-371-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "BRANDY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.