Active NPI
Dai Trang Vo
- Pharmacist
- Glenpool, OK
National Provider Identifier
1770183287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13473
- Practice address
- 12200 S Waco Ave
Glenpool, OK 74033-5655 - Phone
- (918) 299-8052
- NPI assigned
- Oct 26, 2020
- 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 | 13473 | OK | Primary |
Addresses
Primary practice location
12200 S Waco Ave
Glenpool, OK 74033-5655
Mailing address
7715 E 4TH St
Tulsa, OK 74112-2119
Phone (918) 851-2523
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 |
|---|---|---|---|
| 13473 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1770183287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7715 E 4TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741122119",
"telephone_number": "918-851-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 S WACO AVE",
"city": "GLENPOOL",
"state": "OK",
"postal_code": "740335655",
"telephone_number": "918-299-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "DAI",
"middle_name": "TRANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenpool, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.