Jason Barrett
Individual provider Active NPI Pharmacist · Moore, OK
NPI 1982255238 · NPPES record last updated Sep 26, 2019
Key facts
- NPI
- 1982255238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14519 (OK)
- Practice address
- 1280 N Eastern Ave Ste F
Moore, OK 73160-5882 - Phone
- (405) 735-5160
- NPI assigned
- Sep 26, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14519 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmology Moore LLC | Past |
Accepting new patients | |
| Ayandeh Health LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14519 | OK | Yes |
Addresses
Primary practice location
1280 N Eastern Ave Ste F
Moore, OK 73160-5882
Mailing address
1280 N Eastern Ave Ste F
Moore, OK 73160-5882
Phone (405) 735-5160
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.