Active NPI
George N Tanifum, DPM
- Pharmacotherapy Pharmacist
- Fort Sill, OK
National Provider Identifier
1770777344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 0000016311
- Practice address
- 4300 Thomas Street
Population Health Clinic
Ft Sill, OK 73503 - Phone
- (580) 458-2300
- NPI assigned
- Aug 28, 2007
- Last updated
- Aug 28, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 0000016311 | TN | Primary |
Addresses
Primary practice location
4300 Thomas Street
Population Health Clinic
Ft Sill, OK 73503
Mailing address
4300 Thomas Street
Population Health Clinic
Ft Sill, OK 73503
Phone (580) 458-2300
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 |
|---|---|---|---|
| 0000016311 | TN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1770777344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 THOMAS STREET",
"address_2": "POPULATION HEALTH CLINIC",
"city": "FT SILL",
"state": "OK",
"postal_code": "73503",
"telephone_number": "580-458-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 THOMAS STREET",
"address_2": "POPULATION HEALTH CLINIC",
"city": "FT SILL",
"state": "OK",
"postal_code": "73503",
"telephone_number": "580-458-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANIFUM",
"first_name": "GEORGE",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TN",
"license": "0000016311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.