MR. RICKEY REYNOLDS (NPI# 1215013180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215013180 |
| Entity Type | Individual |
| Full Name | MR. RICKEY REYNOLDS |
| Credential | D.PH. |
| Practice Address |
4300 Mowway Road Fort Sill OK 73503 |
| Mailing Address |
1105 Nw 74th St Lawton OK 73505-4234 |
| Practice Telephone | 5804582300 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
8911 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316099153 | Rickey J Reynolds | Psychiatry & Neurology | 400 Rosalind Redfern Grover Pkwy Ste 120, Midland, TX 79701-5849 | 2007-01-18 |
| Street Address |
4300 MOWWAY ROAD |
| City | FORT SILL |
| State | OK |
| Zip Code | 73503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824446 | Alex Boyd | Dentist | U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 | 2020-06-01 |
| 1588145031 | Dustin Davis | Dentist | Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2018-08-23 |
| 1578086492 | Austin Kent Brown | Dentist | Usa Dental Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2017-07-23 |
| 1083155998 | Michael Gagliano | Physician Assistant | 4301 Wilson Street, Attn: Mcua-qm Credentials, Reynolds Army Health Clinic, Fort Sill, OK 73503 | 2017-03-10 |
| 1619428885 | Kristi Ann Putnam | Registered Nurse | Sgt Bleak Troop Medical Clinic, 6039 Berry Street, Fort Sill, OK 73503 | 2016-10-21 |
| 1003265901 | Lucy Muller | Registered Nurse | 4301 Wilson Road, Ft Sill, OK 73503 | 2016-06-10 |
| 1356740146 | Gregory B Kiene | Dentist | 642 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2014-08-18 |
| 1295152262 | Cheryl Marie Wildman | Dental Assistant | 2640 Miner Road, Weeks Dental Clinic, Ft Sill, OK 73503 | 2014-03-27 |
| 1245664143 | Tina L Gray | Dentist | 652 Hamilton Road, Suite 210, Fort Sill Dentac, Fort Sill, OK 73503 | 2013-08-27 |
| 1720410533 | Katherine Loi | Dentist | 652 Hamilton Rd, Fort Sill Dentac, Suite 210, Fort Sill, OK 73503 | 2013-08-02 |
| Find all providers in zip 73503 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598849085 | Lucia M Garcia-carmona | Pharmacist | 4300 Mow Way Rd, Fort Sill, OK 73503 | 2006-10-24 |
| 1821008053 | Brian Dale Murray | Pharmacist | 4303 Pitman & Thomas, Fort Sill, OK 73503 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689224453 | Krystin Lorg I | Pharmacist | 224 S Chestnut Ave, Moore, OK 73160-5223 | 2019-09-13 |
| 1457915985 | Jennifer Sipols | Pharmacist | 800 Ne 10th St Ste 3001, Oklahoma City, OK 73104-5418 | 2019-04-30 |
| 1790124816 | Ashley Lynn Carder | Pharmacist | 13404 Rock Canyon Rd, Oklahoma City, OK 73142-7412 | 2013-06-21 |
| 1073804753 | Julie Whitmire | Pharmacist | Hwy 56 & Hwy 270 Jct, Wewoka, OK 74884-1475 | 2011-04-28 |
| 1689886665 | Michelle Dianne Liedtke | Pharmacist | Ou College of Pharmacy, 1110 N. Stonewall Ave, Cpb 206, Oklahoma City, OK 73117-1223 | 2007-05-04 |
| 1578785564 | Tracy Marie Hagemann | Pharmacist | 1110 N. Stonewall Avenue, Suite 220, Oklahoma City, OK 73117-7311 | 2007-05-02 |
| 1184846917 | Robert Christopher Rathbun | Pharmacist | Ouhsc College of Pharmacy, 1110 N. Stonewall, Rm 206, Oklahoma City, OK 73117 | 2007-05-02 |
| 1265579676 | Kimi S Vesta | Pharmacist | 16428 Grace Ann Ct, Edmond, OK 73013-3286 | 2007-02-01 |
| 1609920065 | John Glen Bearden | Pharmacist | 2301 S Eight Tribes Trl, Miami, OK 74354-1009 | 2007-01-23 |
| 1801970918 | Leslye S Trachte | Pharmacist | 4300 Thomas Street, Population Health Clinic, Ft Sill, OK 73503 | 2006-10-25 |
| 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.