Active NPI
Tanner John Stephens, PHARMD
- Pharmacist
- Norman, OK
National Provider Identifier
1790595403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19727
- Practice address
- 3651 W Robinson St
Norman, OK 73072-3628 - Phone
- (405) 360-5406
- NPI assigned
- Jan 14, 2025
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19727 | OK | Primary |
Addresses
Primary practice location
3651 W Robinson St
Norman, OK 73072-3628
Mailing address
2617 SE 9TH Cir
Moore, OK 73160-0709
Phone (405) 625-9369
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 |
|---|---|---|---|
| 19727 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1790595403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 SE 9TH CIR",
"city": "MOORE",
"state": "OK",
"postal_code": "731600709",
"telephone_number": "405-625-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 W ROBINSON ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730723628",
"telephone_number": "405-360-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "TANNER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-14",
"last_updated": "2025-01-14",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "19727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.