Active NPI
Marcus Tad Autry, PHARM.D., BCPS
- Pharmacotherapy Pharmacist
- Oklahoma City, OK
National Provider Identifier
1780198713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 17001
- Practice address
- 900 NE 10TH St
Oklahoma City, OK 73104-5420 - Phone
- (405) 271-2900
- NPI assigned
- Nov 29, 2017
- 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 | 17001 | OK | Primary |
Addresses
Primary practice location
900 NE 10TH St
Oklahoma City, OK 73104-5420
Mailing address
480 Elm Ave
Norman, OK 73069-5712
Phone (918) 809-8526
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 |
|---|---|---|---|
| 17001 | OK | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1780198713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 ELM AVE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730695712",
"telephone_number": "918-809-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NE 10TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045420",
"telephone_number": "405-271-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUTRY",
"first_name": "MARCUS",
"middle_name": "TAD",
"credential": "PHARM.D., BCPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-29",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "OK",
"license": "17001",
"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 Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.