Active NPI
Austen Leigh Patterson, PHARMD
- Pharmacist
- Tulsa, OK
National Provider Identifier
1881104131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14355
- Practice address
- 6116 S Lewis Ave
Tulsa, OK 74136-1001 - Phone
- (918) 742-1643
- Fax
- (918) 742-1705
- NPI assigned
- Oct 1, 2017
- Last updated
- Oct 1, 2017
- 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 | 14355 | OK | Primary |
Addresses
Primary practice location
6116 S Lewis Ave
Tulsa, OK 74136-1001
Mailing address
6116 S Lewis Ave
Tulsa, OK 74136-1001
Phone (918) 742-1643
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 |
|---|---|---|---|
| 14355 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients | |
| Oklahoma CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506816000000",
"number": "1881104131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361001",
"telephone_number": "918-742-1643",
"fax_number": "918-742-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361001",
"telephone_number": "918-742-1643",
"fax_number": "918-742-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "AUSTEN",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-01",
"last_updated": "2017-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.