MRS. SHANNAN DENISE WIDEMAN


Address: 701 Fox Run Trl, Edmond, OK 73034-7360
Phone: 4054711250

MRS. SHANNAN DENISE WIDEMAN (NPI# 1255778452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255778452
Entity Type Individual
Full Name MRS. SHANNAN DENISE WIDEMAN
Credential PHARM.D.
Practice Address 701 Fox Run Trl
Edmond
OK 73034-7360
Practice Telephone 4054711250
Mailing Telephone 4054711250
Enumeration Date 2013-05-29
Last Update Date 2013-05-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 13911 OK Pharmacy Service Providers
N 183500000X Pharmacist 34908 TX Pharmacy Service Providers

Office Location

Street Address 701 FOX RUN TRL
City EDMOND
State OK
Zip Code 73034-7360

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306447172 Saints Medical Group, LLC Family Medicine 2749 Progressive Dr, Suite B, Edmond, OK 73034 2020-11-06
1194339861 Susan Haesook Kim Pharmacist 1400 2nd St, Edmod, Edmond, OK 73034 2020-09-01
1821616038 Aaron Michael Gowens Specialist/Technologist 015 Wantland Hall 100 University Dr., Edmond, OK 73034 2020-07-14
1043834849 Paddington Place Lcc Intermediate Care Facility, Mental Illness 3225 French Park Drive, Suite 6, Edmond, OK 73034 2020-06-08
1083254932 Purpose Healthcare Inc Psychologist 301 South Blvd, Suite 117, Edmond, OK 73034 2020-01-08
1740773662 Healthcare Express, LLP Family Medicine 2300 E 2nd St, Edmond, OK 73034 2018-06-14
1427555713 Sara Nicole Smith Specialist/Technologist 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 2018-04-12
1619475084 Carissa Leigh Brackelsberg Chiropractor 3709 E 2nd St, Edmond, OK 73034 2018-01-31
1760996177 Laurel Michelle Glendening Physical Therapist 3531 River Wood Lane, Edmond, OK 73034 2017-11-21
1134643380 Keith S Quinn Dentist 3008 Peaceful Ln, Edmond, OK 73034 2017-07-31
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1144625138 Renae M Kraft Pharmacist 1101 Nw 178th St Ste A, Edmond, OK 73012-4281 2014-11-03
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
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Competitor

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City EDMOND
Zip Code 73034

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Dataset Information

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.

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