DR. JENNIFER ELISABETH PRATER (NPI# 1053912055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053912055 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ELISABETH PRATER |
| Credential | DPH |
| Practice Address |
1219 W Doolin Ave Blackwell OK 74631-1351 |
| Practice Telephone | 5803634090 |
| Practice Fax Number | 5803631390 |
| Mailing Telephone | 5803634090 |
| Mailing Fax Number | 5803631390 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14951 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124216981 | Jennifer Prater | Social Worker | 3620 Route 22, Wassaic, NY 12592 | 2007-10-05 |
| Street Address |
1219 W DOOLIN AVE |
| City | BLACKWELL |
| State | OK |
| Zip Code | 74631-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792713 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1219 W Doolin Ave, Blackwell, OK 74631-1351 | 2006-07-16 |
| 1689275414 | Jay Edward Hopkins | Pharmacist | 1219 W Doolin Ave, Blackwell, OK 74631-1351 | 2020-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205370194 | Northern Oklahoma Dental Associates Pllc | Clinic/Center | 427 W Doolin Ave, Blackwell, OK 74631 | 2016-12-12 |
| 1184799629 | Ronald Lee Matheson | Registered Nurse | 710 So 13th, Blackwell, OK 74631 | 2006-11-21 |
| 1750300992 | Christopher Ray Chenoweth | Optometrist | 202 E Blackwell, Blackwell, OK 74631 | 2006-07-19 |
| 1518983816 | Nita L Calvin | Physician Assistant | 710 S 13th, Blackwell, OK 74631 | 2006-07-14 |
| 1548629579 | Blackwell Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 119 N Main St, Blackwell, OK 74631 | 2016-02-18 |
| 1245210954 | Luther Wayne Ghormley | General Practice | 115 W Bridge Ave, Osler Clinic, Blackwell, OK 74631 | 2006-01-19 |
| 1255355723 | Triad Medical Inc | Durable Medical Equipment & Medical Supplies | 117 N Main, Blackwell, OK 74631-0854 | 2006-07-27 |
| 1255602355 | Blackwell Hmpn, LLC | Family Medicine | 1005 W Doolin Ave, Blackwell, OK 74631-1350 | 2012-01-20 |
| 1821526468 | Kay County Oklahoma Hospital Company LLC | Family Medicine | 1005 W Doolin Ave, Blackwell, OK 74631-1350 | 2017-05-26 |
| 1932634573 | Kay County Oklahoma Hospital Company LLC | Clinic/Center | 1005 W Doolin Ave, Blackwell, OK 74631-1350 | 2017-04-20 |
| Find all providers in zip 74631 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124419650 | James Cronin | Pharmacist | 616 Country Club Ln, Blackwell, OK 74631-6851 | 2015-02-05 |
| 1235277476 | Dennis William Hutton | Pharmacist | 419 Bel Air Ave, Blackwell, OK 74631-5103 | 2007-02-01 |
| 1689275414 | Jay Edward Hopkins | Pharmacist | 1219 W Doolin Ave, Blackwell, OK 74631-1351 | 2020-11-06 |
| 1538639901 | Clark Bishop | Pharmacist | 119 N Main St, Blackwell, OK 74631-2226 | 2018-11-28 |
| 1134262603 | Caryen Leemarie Fergeson | Pharmacist | 119 N Main St, Blackwell, OK 74631-2226 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699927 | Machell Lyn Gable | Pharmacist | 951 E Sh 152, Mustang, OK 73064-5119 | 2020-11-04 |
| 1972104099 | James R Hargis | Pharmacist | 1820 Rosedale Dr, Edmond, OK 73013-6638 | 2020-11-04 |
| 1912508003 | Tyler O Mattocks | Pharmacist | 3571 W Rock Creek Rd, Norman, OK 73072-2473 | 2020-11-04 |
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1285234864 | April Holmes | Pharmacist | 220 S Highway 97, Sand Springs, OK 74063-6571 | 2020-10-31 |
| 1932709664 | Nouha Hilal | Pharmacist | 8241 S 100th East Pl, Tulsa, OK 74133-4545 | 2020-10-30 |
| 1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1023618360 | Michelle Lam | Pharmacist | 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.