DEREK DENNIS (NPI# 1104101625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104101625 |
| Entity Type | Individual |
| Full Name | DEREK DENNIS |
| Credential | PHARMD |
| Practice Address |
201 Nw 63rd St Ste 390 Oklahoma City OK 73116-8210 |
| Practice Telephone | 4058199890 |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2011-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13393 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356782395 | Derek M Dennis | Pharmacist | 6959 N 88th Ave, Omaha, NE 68122-5217 | 2013-07-06 |
| 1477583649 | Derek G Dennis | Nurse Anesthetist, Certified Registered | 2537 W State St, Boise, ID 83702-2200 | 2006-07-04 |
| Street Address |
201 NW 63RD ST STE 390 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-8210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013290196 | Laura Petty | Pharmacist | 201 Nw 63rd St Ste 390, Oklahoma City, OK 73116-8210 | 2011-09-24 |
| 1780019182 | Sherrie Lorene Rutledge | Pharmacist | 201 Nw 63rd St Ste 390, Oklahoma City, OK 73116-8210 | 2013-09-05 |
| 1841561438 | Curtis Lyman Miles | Pharmacist | 201 Nw 63rd St Ste 390, Oklahoma City, OK 73116-8210 | 2012-01-13 |
| 1457620270 | Michael Lam | Pharmacist | 201 Nw 63rd St Ste 390, Oklahoma City, OK 73116-8210 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| 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 |
|---|---|---|---|---|
| 1023618360 | Michelle Lam | Pharmacist | 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 | 2020-10-27 |
| 1871108902 | Kayley Jordan | Pharmacist | 701 W Hefner Rd, Oklahoma City, OK 73114-6836 | 2020-09-15 |
| 1053925735 | Jennie Nguyen | Pharmacist | 519 Nw 23rd St Ste 109, Oklahoma City, OK 73103-1509 | 2020-09-01 |
| 1811527294 | Tara Ann Dominguez | Pharmacist | 3116 Nw 21st St, Oklahoma City, OK 73107-3010 | 2020-01-24 |
| 1730739871 | Calven Ngo | Pharmacist | 4301 S May Ave, Oklahoma City, OK 73119-3275 | 2019-09-19 |
| 1134776891 | Talitha Joy Nichols | Pharmacist | 390 Ne 36th St, Oklahoma City, OK 73105-2508 | 2019-08-19 |
| 1710531595 | Dillon Hayden | Pharmacist | 1122 Ne 13th St Ste 4201c, Oklahoma City, OK 73117-1039 | 2019-07-30 |
| 1225509904 | Liza Ann Martinez | Pharmacist | 3433 Nw 56th St Ste 140b, Oklahoma City, OK 73112-4430 | 2018-12-06 |
| 1215406962 | Jonathan Patrick Hanna | Pharmacist | 11101 Hefner Pointe Dr Ste 101, Oklahoma City, OK 73120-5054 | 2018-11-23 |
| 1689188310 | Bryan Ticer | Pharmacist | 825 Ne 10th St Ste 2a, Oklahoma City, OK 73104-5417 | 2017-11-16 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on DEREK DENNIS.
| 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.