DR. PATRA KOSITCHAIWAT GILBERT (NPI# 1104395920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104395920 |
| Entity Type | Individual |
| Full Name | DR. PATRA KOSITCHAIWAT GILBERT |
| Other Name | DR. PATRA KOSITCHAIWAT |
| Credential | MBA, PHARMD |
| Practice Address |
2323 N Martin Luther King Ave Oklahoma City OK 73111-2496 |
| Practice Telephone | 4054240557 |
| Practice Fax Number | 4054240105 |
| Mailing Telephone | 4054240557 |
| Mailing Fax Number | 4054240105 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17844 | OK | Pharmacy Service Providers |
| Street Address |
2323 N MARTIN LUTHER KING AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73111-2496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669576492 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2323 N Martin Luther King Ave, Oklahoma City, OK 73111-2405 | 2006-09-12 |
| 1598279408 | Ifunanya Okoli | Pharmacist | 2323 N Martin Luther King Ave, Oklahoma City, OK 73111-2405 | 2017-11-30 |
| 1225540842 | Damian Dartez | Pharmacy | 2323 N Martin Luther King Ave, Oklahoma City, OK 73111-2405 | 2017-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114779 | Brandi N Ridley | Counselor | 3621 N. Kelley Ave Ste. 100, Oklahoma City, OK 73111 | 2017-03-08 |
| 1790134708 | Raymond Arthur Smith Jr. | Counselor | 2329 Nw 111th, Oklahoma, OK 73111 | 2016-06-09 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1528438710 | Brendel Lacey | Case Manager/Care Coordinator | 3017 N Martin Luther King Avenue, Oklahoma City, OK 73111 | 2015-09-30 |
| 1194108746 | Mary Margaret Mcmiller | Social Worker | 2700 Ne 63rd St, Oklahoma City, OK 73111 | 2015-07-01 |
| 1386037349 | Michelle Patrick | Counselor | 2525 Nw Expressway Suite 531, Building Up People Behavioral Health Service, Oklahoma, OK 73111 | 2015-03-13 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1033458070 | Mary Boyles | Case Manager/Care Coordinator | 1732 N Kelly, Oklahoma, OK 73111 | 2013-02-12 |
| 1427312164 | Sharonda Lavon Bowie | Counselor | 1328 Ne 53rd St, Oklahoma City, OK 73111 | 2012-06-27 |
| 1598029373 | Michael Brown | Counselor | 4413 Rock Island Circle, Oklahoma City, OK 73111 | 2012-06-27 |
| Find all providers in zip 73111 | ||||
| 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 | 73111 |
Please comment or provide details below to improve the information on DR. PATRA KOSITCHAIWAT GILBERT.
| 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.