Melissa Ann Petersen-Gent, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

14599 Issued in OK

Practice address

1220 W 12TH Ave
Stillwater, OK 74074-4400

Phone

(405) 372-6120

NPI assigned

Aug 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1922619287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W 12TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744400",
            "telephone_number": "405-372-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W 12TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744400",
            "telephone_number": "405-372-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN-GENT",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "14599",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.centraldrugstore.com",
            "affiliation": "Y",
            "endpointDescription": "work website",
            "affiliationName": "CDL Central Drug, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pharmacy data",
            "address_1": "1220 W 12th Ave",
            "city": "Stillwater",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740744400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cara Denise Pence, M.D.
• Lauren Pendarvis, DO
• Rebecca Lou Pendleton, SLP
• Juan Perez, MHR
• Kevin Maurice Perry, P.T., ATC
• Taylor Peterson, D.D.S.
• Elizabeth Murphy Petrin, PHD
• Jean Marie Pettus
• Kristy Lyn Phelps, L.P.N
• Jessica Christine Phillips

• Pharmacist in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.