Juan Jose Olvera Andrade, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

17995 Issued in OK

Practice address

131 E Main St
Hulbert, OK 74441-8901

Phone

(918) 772-2727

Fax

(918) 772-6131

NPI assigned

Jan 27, 2022

Last updated

Jun 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northeastern Oklahoma Community Health Centers Inc

  dba NeoHealth Hulbert Pharmacy

  • Community/Retail Pharmacy
  • Hulbert, OK
  • NPI 1407145121
  NPD (past)

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1932852316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 CYPRESS LN",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744640655",
            "telephone_number": "918-931-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E MAIN ST",
            "city": "HULBERT",
            "state": "OK",
            "postal_code": "744418901",
            "telephone_number": "918-772-2727",
            "fax_number": "918-772-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLVERA ANDRADE",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "17995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gayle Neel
• Northeastern Oklahoma Community Health Centers Inc (NeoHealth Hulbert Pharmacy)
• Northeastern Oklahoma Community Health Centers Inc (Hulbert Health Center)
• Northeastern Oklahoma Community Health Centers, Inc. (NeoHealth Hulbert Mobile Unit)
• Norwood Public School
• Daphany Maricia Parker, ARNP, FNP-C
• Shawn Presley, SLP-CCC
• Kathy May Ritchie, A.R.N.P.
• Cindy L Rogers
• Shady Grove Public School

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.