Destiny Schlicher
Individual provider Active NPI Pharmacist · Newcastle, OK
NPI 1841016136 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1841016136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20771 (OK)
- Practice address
- 3232 Tri City Dr
Newcastle, OK 73065-6324 - Phone
- (405) 387-5006
- NPI assigned
- Dec 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20771 | OK | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
3232 Tri City Dr
Newcastle, OK 73065
Phone (405) 387-5006
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20771 | OK | Yes |
Addresses
Primary practice location
3232 Tri City Dr
Newcastle, OK 73065-6324
Mailing address
3232 Tri City Dr
Newcastle, OK 73065-6324
Other providers in Newcastle, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.