Active NPI
Stephenie Dawn Rodriguez, CPHT
- Pharmacy Technician
- Tahlequah, OK
National Provider Identifier
1962494765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T-5636
- Practice address
- 1301 E Downing St
Tahlequah, OK 74464-3350 - Phone
- (918) 456-2233
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T-5636 | OK | Primary |
Addresses
Primary practice location
1301 E Downing St
Tahlequah, OK 74464-3350
Mailing address
323 Phoenix Ave
Lot # 27
Tahlequah, OK 74464-3460
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-5636 | OK | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962494765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 PHOENIX AVE",
"address_2": "LOT # 27",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744643460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E DOWNING ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744643350",
"telephone_number": "918-456-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "STEPHENIE",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OK",
"license": "T-5636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.