Active NPI
Courtney Rae Gasaway, PHARM.D.
- Pharmacist
- Purcell, OK
National Provider Identifier
1760949622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13825
- Practice address
- 1602 N Green Ave
Purcell, OK 73080-1626 - Phone
- (405) 527-5900
- Fax
- (405) 527-0806
- NPI assigned
- Feb 27, 2019
- Last updated
- Feb 27, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13825 | OK | Primary |
Addresses
Primary practice location
1602 N Green Ave
Purcell, OK 73080-1626
Mailing address
1602 N Green Ave
Purcell, OK 73080-1626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100235190A | Medicaid | OK |
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 |
|---|---|---|---|
| 13825 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & J Investments LLC | Past | Accepting new patients | |
| J & J Investments LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba United Discount Drug #2
- Long Term Care Pharmacy
- Purcell, OK
- NPI 1134281769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1760949622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 N GREEN AVE",
"city": "PURCELL",
"state": "OK",
"postal_code": "730801626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 N GREEN AVE",
"city": "PURCELL",
"state": "OK",
"postal_code": "730801626",
"telephone_number": "405-527-5900",
"fax_number": "405-527-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASAWAY",
"first_name": "COURTNEY",
"middle_name": "RAE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100235190A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Purcell, OK
- Lauren Olivia Evans, LCSW
- Alliza Angeline Fitzgibbons
- Jadyn Flores Flores Montgomery
- Freeborn Dysphagia Associates, LLC (Heart of Oklahoma Center for Swallow & Speech Services)
- Kristina Alycia Freeborn, MA. CCC-SLP
- Bobby F Gee, DPH
- Glenn a Mead DDS PC
- Jeremy Doug Gray
- Green Life Health and Wellness PLLC
- Billy Jack Gregg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.