Active NPI
Jodi K Peters, D.PH.
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1871710608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12674
- Practice address
- 4050 W Memorial Rd
Oklahoma City, OK 73120-8358 - Phone
- (405) 608-3862
- Fax
- (405) 972-7590
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 12674 | OK | Primary |
Addresses
Primary practice location
4050 W Memorial Rd
Oklahoma City, OK 73120-8358
Mailing address
21448 S Sawtooth Cir
Edmond, OK 73012-4407
Phone (405) 474-7635
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 |
|---|---|---|---|
| 12674 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1871710608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21448 S SAWTOOTH CIR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730124407",
"telephone_number": "405-474-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 W MEMORIAL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208358",
"telephone_number": "405-608-3862",
"fax_number": "405-972-7590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "JODI",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "12674",
"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 Sep 3, 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.