Jacob Zane Dunlap, PHARMD.,RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

16916 Issued in OK

Practice address

12902 E 96TH St N
Owasso, OK 74055-4778

Phone

(918) 272-2376

Fax

(918) 272-3335

NPI assigned

Nov 30, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

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.

• Oklahoma CVS Pharmacy LLC

  • Pharmacy
  • Enid, OK
  • NPI 1407278260
  NPD (past)
• Oklahoma CVS Pharmacy, L.L.C.

  • Pharmacy
  • Owasso, OK
  • NPI 1588971956
  NPD (past)

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1992219760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S JAMESTOWN AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741123839",
            "telephone_number": "806-576-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 E 96TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554778",
            "telephone_number": "918-272-2376",
            "fax_number": "918-272-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "JACOB",
        "middle_name": "ZANE",
        "name_prefix": "Dr.",
        "credential": "PHARMD.,RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "56692",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "16916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "16916",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "56692",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Laine Droege, DO
• DRS. Hinkle & Cash Opt,, Inc.
• Shelly B. Dugger, DPT
• Lindsey Dukes
• Alejandra Gabriela Duncan, DNP, APRN, FNP-BC
• Bryan James Dunn, ATC/L, CSCS
• Parker James Dunn
• Travis Edward Dust, D.C.
• Leanna Dutton
• Amy Dawn Dwiggins, PHARMD

• Pharmacist in Owasso, OK
• Providers in Owasso, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.