DR. SHAWN CRISMON (NPI# 1982260683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982260683 |
| Entity Type | Individual |
| Full Name | DR. SHAWN CRISMON |
| Credential | D.PH. |
| Practice Address |
6802 S Olympia Ave Ste 125 Tulsa OK 74132-1830 |
| Practice Telephone | 9185133234 |
| Practice Fax Number | 9185133229 |
| Mailing Telephone | 9185133234 |
| Mailing Fax Number | 9185133229 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11634 | OK | Pharmacy Service Providers |
| Street Address |
6802 S OLYMPIA AVE STE 125 |
| City | TULSA |
| State | OK |
| Zip Code | 74132-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412992 | Dental Depot Southern Hills 71st & Jackson | Clinic/Center | 710 W. 74th Street, Tulsa, OK 74132 | 2019-05-10 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1467715300 | Mednow Urgent Care Center LLC | Emergency Medicine | 7127 S Olympia, Tulsa, OK 74132 | 2012-06-15 |
| 1801153754 | Jeffrey B Hill | Family Medicine | 7858 South Olympia Avenue West, Tulsa, OK 74132 | 2012-04-17 |
| 1871733519 | Mjr Enterprises LLC | Family Medicine | 3800 W. 71st, Inverness Village, Tulsa, OK 74132 | 2009-02-20 |
| 1356331052 | Trisza L Ray | Family Medicine | 7858 South Olympia Avenue, Tulsa, OK 74132 | 2005-10-24 |
| 1245229657 | Bruce E Hudkins | Otolaryngology | 6802 S Olympia Ave West, Ste 200, Tulsa, OK 74132 | 2005-10-18 |
| 1306843248 | Paul Pisarik | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132 | 2005-07-07 |
| 1235752361 | William Richey | Pharmacist | 6901 S Olympia Ave, Tulsa, OK 74132 | 2020-05-23 |
| 1508424755 | Tulsa Ep, Pllc | Emergency Medicine | 717 W. 71st Street, Tulsa, OK 74132 | 2019-06-03 |
| Find all providers in zip 74132 | ||||
| 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 |
|---|---|---|---|---|
| 1932709664 | Nouha Hilal | Pharmacist | 8241 S 100th East Pl, Tulsa, OK 74133-4545 | 2020-10-30 |
| 1497392476 | Polly Gretchen Robinson | Pharmacist | W 2nd St., Suite 100, Communitycare, Tulsa, OK 74103 | 2019-12-09 |
| 1760027866 | Chelsea Nicole Crisp | Pharmacist | 1406 S Marion Ave, Tulsa, OK 74112-5923 | 2019-11-12 |
| 1437618477 | Michael Terry Canaday | Pharmacist | 1823 S Carson Ave, Tulsa, OK 74119-5007 | 2019-03-19 |
| 1205308749 | Ricky E Burgess | Pharmacist | 12515 E 55th St Ste 101, Tulsa, OK 74146-6234 | 2018-12-21 |
| 1568951366 | James D Fotenopulos | Pharmacist | 1924 S Utica Ave # 416, Tulsa, OK 74104-6510 | 2018-05-07 |
| 1235641010 | Darin Coggins | Pharmacist | 115 W 3rd St Unit 820, Tulsa, OK 74103-3410 | 2017-11-01 |
| 1275044752 | Owen Cabrera | Pharmacist | 7041 S Yale Ave, Tulsa, OK 74136-5701 | 2017-10-24 |
| 1881104131 | Austen Leigh Patterson | Pharmacist | 6116 S Lewis Ave, Tulsa, OK 74136-1001 | 2017-10-01 |
| 1447770425 | Uyen T Nguyen | Pharmacist | 10021 S Yale Ave, Tulsa, OK 74137-6078 | 2017-06-21 |
| Find all providers in TULSA | ||||
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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.