Active NPI
Kristy Lea Vowell, RPH, PHARM.D.
- Pharmacist
- Wagoner, OK
National Provider Identifier
1992146781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15396
- Practice address
- 410 S Dewey Ave
Wagoner, OK 74467-5500 - Phone
- (918) 485-4581
- NPI assigned
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 15396 | OK | Primary |
Addresses
Primary practice location
410 S Dewey Ave
Wagoner, OK 74467-5500
Mailing address
410 S Dewey Ave
Wagoner, OK 74467-5500
Phone (918) 485-4581
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15396 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | 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.
-
dba Walmart Pharmacy 10-0063
- Community/Retail Pharmacy
- Wagoner, OK
- NPI 1679590780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451779200000",
"number": "1992146781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S DEWEY AVE",
"city": "WAGONER",
"state": "OK",
"postal_code": "744675500",
"telephone_number": "918-485-4581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S DEWEY AVE",
"city": "WAGONER",
"state": "OK",
"postal_code": "744675500",
"telephone_number": "918-485-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOWELL",
"first_name": "KRISTY",
"middle_name": "LEA",
"credential": "RPH, PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2016-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.