Individual provider Active NPI

David L George, PHARMD

  • Pharmacist
  • Edmond, OK
National Provider Identifier
1881171528
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14943 Issued in OK
Practice address
14101 N Eastern Ave Ste a
Edmond, OK 73013-5860
Phone
(405) 562-1800
NPI assigned
Jul 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14943 OK Primary

Addresses

Primary practice location

14101 N Eastern Ave Ste a
Edmond, OK 73013-5860

Mailing address

14101 N Eastern Ave Ste a
Edmond, OK 73013-5860
Phone (405) 562-1800

Other practice location 1

103 E State Highway 152
Mustang, OK 73064-4406
Phone (405) 256-0555

Other practice location 2

119 N Main St
Blackwell, OK 74631-2226
Phone (580) 363-2137

Other identifiers 1

IdentifierTypeStateIssuer
200494830AMedicaidOK

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

LicenseStateTypeSpecialty
14943OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Blackwell Pharmacy LLC Past Accepting new patients
Mustang Drug LLC PastSince Jan 26, 2020 Accepting new patients
Hutton Pharmacy Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1881171528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 N EASTERN AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135860",
            "telephone_number": "405-562-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 N EASTERN AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135860",
            "telephone_number": "405-562-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 E State Highway 152",
            "address_purpose": "LOCATION",
            "city": "Mustang",
            "state": "OK",
            "postal_code": "730644406",
            "country_code": "US",
            "telephone_number": "405-256-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 N Main St",
            "address_purpose": "LOCATION",
            "city": "Blackwell",
            "state": "OK",
            "postal_code": "746312226",
            "country_code": "US",
            "telephone_number": "580-363-2137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200494830A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.