BRYAN TICER (NPI# 1689188310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689188310 |
Entity Type | Individual |
Full Name | BRYAN TICER |
Credential | PHARM D |
Practice Address |
825 Ne 10th St Ste 2a Oklahoma City OK 73104-5417 |
Practice Telephone | 4052716446 |
Practice Fax Number | 4052716447 |
Mailing Telephone | 4052716446 |
Enumeration Date | 2017-11-16 |
Last Update Date | 2017-11-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 11952 | OK | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | STATE BOARD OF PHARMACY LICENSE | 11952 | 01 |
Street Address |
825 NE 10TH ST STE 2A |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73104-5417 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417460106 | Elizabeth Marie Butler | Pharmacist | 825 Ne 10th St Ste 2a, Oklahoma City, OK 73104-5417 | 2017-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
Find all providers in zip 73104 |
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 |
1831633940 | Mollie Reidland | Pharmacist | 530 Nw 32nd St, Oklahoma City, OK 73118-7341 | 2016-12-08 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73104 |
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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.