Jennifer Musgrove, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

17378 Issued in OK

Practice address

115 W 3Rd St
Elk City, OK 73644-4721

Phone

(580) 225-4418

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Wallace Former name

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Elk City, OK
  • NPI 1881609865
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1952872137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 CHISHOLM TRL",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962346",
            "telephone_number": "580-799-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444721",
            "telephone_number": "580-225-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "JENNIFER",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "17378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WALLACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Morris, HAS
• Deward Lawayne Morris, BC-HIS
• Jack Thomas Morrison, DDS
• Greg Mouse
• Linda Muniz
• Misty Lorraine Musick, MS
• Heather Nebhut
• Madison Negrin, RBT
• Christa Lynn Newberry
• Rhonda Gayle Noreuil

• Pharmacist in Elk City, OK
• Providers in Elk City, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.