Active NPI
Diana Carolina Mendez
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1780289793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17290
- Practice address
- 10800 N Rockwell Ave
Oklahoma City, OK 73162-4538 - Phone
- (405) 728-8081
- Fax
- (405) 728-2879
- NPI assigned
- Nov 30, 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 | 17290 | OK | Primary |
Addresses
Primary practice location
10800 N Rockwell Ave
Oklahoma City, OK 73162-4538
Mailing address
5813 NW 71St St
Warr Acres, OK 73132-6608
Phone (405) 505-7333
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 |
|---|---|---|---|
| 17290 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1780289793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5813 NW 71ST ST",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731326608",
"telephone_number": "405-505-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 N ROCKWELL AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731624538",
"telephone_number": "405-728-8081",
"fax_number": "405-728-2879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "DIANA",
"middle_name": "CAROLINA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "17290",
"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 30, 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.