Active NPI
Nancy Lynae Weaver, DPH
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1841575347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10061
- Practice address
- 9011 S. Pennsylvania
Oklahoma City, OK 73159 - Phone
- (405) 692-1882
- NPI assigned
- Oct 15, 2011
- Last updated
- Oct 15, 2011
- 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 | 10061 | OK | Primary |
Addresses
Primary practice location
9011 S. Pennsylvania
Oklahoma City, OK 73159
Mailing address
1716 County Road 1260
Tuttle, OK 73089-3704
Phone (405) 381-2061
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 |
|---|---|---|---|
| 10061 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1841575347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 COUNTY ROAD 1260",
"city": "TUTTLE",
"state": "OK",
"postal_code": "730893704",
"telephone_number": "405-381-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9011 S. PENNSYLVANIA",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73159",
"telephone_number": "405-692-1882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "NANCY",
"middle_name": "LYNAE",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "10061",
"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 Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.