Active NPI
Deborah Jean Southern
- Pharmacist
- Lawton, OK
National Provider Identifier
1811023120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11195
- Practice address
- 3401 W Gore
Lawton, OK 73505-6342 - Phone
- (580) 250-5850
- NPI assigned
- Feb 23, 2007
- 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 | 11195 | OK | Primary |
Addresses
Primary practice location
3401 W Gore
Lawton, OK 73505-6342
Mailing address
P.O. Box 485
Cache, OK 73527-0485
Phone (580) 351-8626
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 |
|---|---|---|---|
| 11195 | OK | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1811023120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 485",
"city": "CACHE",
"state": "OK",
"postal_code": "735270485",
"telephone_number": "580-351-8626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W GORE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056342",
"telephone_number": "580-250-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHERN",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
- Andrea Southerland, DPH
- Southern Oklahoma Infectious Diseases Consultants, PC
- Southern Oklahoma Treatment Services
- Southern Oklahoma Treatment Services, Inc.
- Anna Southern
- Southwest Anesthesia - Service of Comanche County Memorial Hospital
- Southwest Imaging Center Inc
- Southwest LTC Lawton LLC (Willow Park Healthcare Center)
- Southwest Oral & Maxillofacial Surgery
- Southwestern Emergency Department Physician Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.