Paul D Carpenter, D. PH.
Individual provider Active NPI Pharmacist · Frederick, OK
NPI 1881934883 · NPPES record last updated Feb 27, 2013
Key facts
- NPI
- 1881934883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8441 (OK)
- Practice address
- 319 E Josephine Ave
Frederick, OK 73542-2220 - Phone
- (580) 512-7467
- NPI assigned
- Feb 27, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8441 | OK | Yes |
Addresses
Primary practice location
319 E Josephine Ave
Frederick, OK 73542-2220
Mailing address
3036 Ash CT
Whitney, TX 76692-5400
Phone (580) 512-7467
Other providers in Frederick, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2013. 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.