DR. RENAE M KRAFT (NPI# 1144625138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144625138 |
| Entity Type | Individual |
| Full Name | DR. RENAE M KRAFT |
| Credential | PHARMD |
| Practice Address |
1101 Nw 178th St Ste A Edmond OK 73012-4281 |
| Mailing Address |
4062 Nw 36th St Oklahoma City OK 73112-2988 |
| Practice Telephone | 4052852600 |
| Practice Fax Number | 4052852600 |
| Mailing Telephone | 3162493265 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15683 | OK | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3501 French Park Dr Ste C, Edmond, OK 730347290 | 4056333419 | 3167424110 |
| Street Address |
1101 NW 178TH ST STE A |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| 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 |
|---|---|---|---|---|
| 1972104099 | James R Hargis | Pharmacist | 1820 Rosedale Dr, Edmond, OK 73013-6638 | 2020-11-04 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1578175246 | Stefan Joseph Miranov | Pharmacist | 1308 N Bryant Ave, Edmond, OK 73034-4950 | 2020-08-23 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1033685730 | Chad Alan Caldwell | Pharmacist | 4833 Integris Pkwy Ste 130, Edmond, OK 73034-8864 | 2018-10-19 |
| 1881171528 | David L George | Pharmacist | 14101 N Eastern Ave Ste A, Edmond, OK 73013-5860 | 2018-07-25 |
| 1295270494 | Barbara Fang | Pharmacist | 3051 Willowood Rd, Edmond, OK 73034-9725 | 2016-12-23 |
| 1255778452 | Shannan Denise Wideman | Pharmacist | 701 Fox Run Trl, Edmond, OK 73034-7360 | 2013-05-29 |
| 1922354208 | Kristen Winters | Pharmacist | 1701 Renaissance Blvd Ste 120, Edmond, OK 73013-3086 | 2012-07-24 |
| 1558646166 | Tyrone Eby | Pharmacist | 301 S Santa Fe, Edmond, OK 73003 | 2011-10-14 |
| Find all providers in EDMOND | ||||
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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.