PHYLLIS DIANE SAULSBERRY (NPI# 1366524282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366524282 |
| Entity Type | Individual |
| Full Name | PHYLLIS DIANE SAULSBERRY |
| Credential | D.PH. |
| Practice Address |
4224 Se 24th St Del City OK 73115-2529 |
| Mailing Address |
4224 S.e. 24th Street Del City OK 73115-2529 |
| Practice Telephone | 4052700501 |
| Practice Fax Number | 4052901716 |
| Mailing Telephone | 4052700501 |
| Mailing Fax Number | 4052901716 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9019 | OK | Pharmacy Service Providers |
| Street Address |
4224 SE 24TH ST |
| City | DEL CITY |
| State | OK |
| Zip Code | 73115-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776222 | Physicians Choice Dialysis of Midwest City LLC | Technician, Other | 3200 Se 29th Street, Del City, OK 73115 | 2020-10-06 |
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1285164392 | Jerry Medlock | Peer Specialist | 4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7, Del City, OK 73115 | 2017-06-13 |
| 1326425588 | Peace of Mind Pediatrics Pllc | Clinic/Center | 5476 Main Street, 104, Del City, OK 73115 | 2015-04-27 |
| 1588077044 | Latasha Aujena Walker | Case Management | 4337 Se15th, Del City, OK 73115 | 2014-06-03 |
| 1164834701 | Affordable Dentures-midwest City, P.C. | Dentist | 5301 Main Street, Suite 111, Del City, OK 73115 | 2014-06-02 |
| 1629488028 | Nikke Sogunro | Counselor | 3517 Ridglea Ct., Del City, OK 73115 | 2014-05-07 |
| 1033539358 | Shelli Holtsman | Counselor | 4329 Se 40th Street, Del City, OK 73115 | 2014-04-25 |
| 1215238514 | Tonya Dailwayne Wilson | Counselor | 4016 S.e. 24th Street, Del City, OK 73115 | 2010-11-03 |
| 1851611099 | Kelly Camille Kingsley | Behavioral Analyst | 4018 Se 11th Street, Del City, OK 73115 | 2010-06-10 |
| Find all providers in zip 73115 | ||||
| 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 |
|---|---|---|---|---|
| 1225650203 | Cara Denae Zellner | Pharmacist | 5401 Tinker Diagonal, Del City, OK 73115-4622 | 2020-05-12 |
| 1023618527 | James Mark Green | Pharmacist | 5401 Tinker Diagonal, Del City, OK 73115-4622 | 2020-10-26 |
| 1538771290 | Steven Pan | Pharmacist | 4300 Se 29th St, Del City, OK 73115-3312 | 2020-08-23 |
| 1932744646 | Joshua Miller | Pharmacist | 4129 Se 29th St, Del City, OK 73115-2643 | 2019-11-18 |
| 1952872954 | Shonda Kay Lassiter | Pharmacist | 3252 Se 29th St, Del City, OK 73115-1601 | 2018-12-17 |
| 1548780703 | William Henderson | Pharmacist | 4300 Se 29th St, Del City, OK 73115-3312 | 2017-06-20 |
| 1053796300 | Jeremiah Hadaway | Pharmacist | 4300 Se 29th St, Del City, OK 73115-3312 | 2015-07-29 |
| 1811372170 | Daniel Miller | Pharmacist | 4300 Se 29th St, Del City, OK 73115-3312 | 2015-07-28 |
| 1801147368 | Tracy Do | Pharmacist | 4300 Se 29th St, Del City, OK 73115-3312 | 2012-09-24 |
| 1588946495 | Caleb Fairchild | Pharmacist | 4300 Se 29th St, Del City, OK 73115-3312 | 2011-09-16 |
| Find all providers in DEL CITY | ||||
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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.