DR. JONATHAN TYLER HENSON (NPI# 1073028825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073028825 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN TYLER HENSON |
| Credential | PHARM D. |
| Practice Address |
201 S Mustang Rd Yukon OK 73099-6686 |
| Practice Telephone | 4053248170 |
| Practice Fax Number | 4053248178 |
| Mailing Telephone | 4053248170 |
| Mailing Fax Number | 4053248178 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16091 | OK | Pharmacy Service Providers |
| Street Address |
201 S MUSTANG RD |
| City | YUKON |
| State | OK |
| Zip Code | 73099-6686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427035112 | Cheryl E Mcfadden | Nurse Practitioner | 201 S Mustang Rd, Yukon, OK 73099-6686 | 2005-12-23 |
| 1225534399 | Nicholas Warner | Pharmacist | 201 S Mustang Rd, Yukon, OK 73099-6686 | 2018-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| 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 |
|---|---|---|---|---|
| 1033755491 | Melissa Nicole Wicks | Pharmacist | 313 Partridge Run Rd, Yukon, OK 73099-9511 | 2019-11-20 |
| 1356998777 | Kathy Henry | Pharmacist | 1129 Camelot Dr, Yukon, OK 73099-3328 | 2019-08-20 |
| 1285916338 | Bao Ngoc Bui Nguyen | Pharmacist | 9809 Sw 23rd St, Yukon, OK 73099-5154 | 2011-09-14 |
| 1952681488 | Becky Lin Doty | Pharmacist | 10800 Nw 96th St, Yukon, OK 73099-9659 | 2011-08-29 |
| 1770863201 | Jim Ballard | Pharmacist | 209 Rock Creek Rd, Yukon, OK 73099-4438 | 2011-08-29 |
| 1174735203 | L Kathryn Robison Brand | Pharmacist | 11760 Hackney Lane, Yukon, OK 73099 | 2007-05-03 |
| 1649496720 | Sandra Lynn Adcock | Pharmacist | 11717 Nw 6th St, Yukon, OK 73099-6989 | 2007-04-17 |
| 1356444350 | William Chris Miller | Pharmacist | 12320 N Mustang Rd, Yukon, OK 73099-8166 | 2006-09-06 |
| 1508976804 | Craig Wesley Mcalister | Pharmacist | 2600 N Mustang Rd, Yukon, OK 73099-1801 | 2006-08-30 |
| 1033132535 | Phillip Marcus Woodward | Pharmacist | 11053 Folkstone Dr, Yukon, OK 73099-8051 | 2006-07-25 |
| Find all providers in YUKON | ||||
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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.