Active NPI
Jenna Abbott, PHARMD
- Pharmacist
- Hydro, OK
National Provider Identifier
1982206702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15689
- Practice address
- 510 N Arapaho Ave
Hydro, OK 73048-8702 - Phone
- (405) 663-4111
- Fax
- (405) 663-2121
- NPI assigned
- Nov 16, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15689 | OK | Primary |
Addresses
Primary practice location
510 N Arapaho Ave
Hydro, OK 73048-8702
Mailing address
PO Box 130
Hydro, OK 73048-0130
Phone (405) 663-4111
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15689 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmcareok of Hydro Inc | Current | Accepting new patients | |
| Pharmcareok of Hydro, Inc. | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Long Term Care Pharmacy
- Hydro, OK
- NPI 1457380164
-
- Community/Retail Pharmacy
- Hydro, OK
- NPI 1528492303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1982206702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "HYDRO",
"state": "OK",
"postal_code": "730480130",
"telephone_number": "405-663-4111",
"fax_number": "405-663-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N ARAPAHO AVE",
"city": "HYDRO",
"state": "OK",
"postal_code": "730488702",
"telephone_number": "405-663-4111",
"fax_number": "405-663-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "JENNA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hydro, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.