DR. JOEL PATRICK DAVENPORT (NPI# 1124372792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124372792 |
Entity Type | Individual |
Full Name | DR. JOEL PATRICK DAVENPORT |
Credential | PHARM. D. |
Practice Address |
115 W 3rd St Suite 820 Tulsa OK 74103-3410 |
Mailing Address |
115 W. 3rd Street Suite 820 Tulsa OK 74103 |
Practice Telephone | 9185853069 |
Practice Fax Number | 9185748569 |
Mailing Telephone | 9185853069 |
Mailing Fax Number | 9185748569 |
Enumeration Date | 2012-11-05 |
Last Update Date | 2012-11-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 14941 | OK | Pharmacy Service Providers |
Street Address |
115 W 3RD ST SUITE 820 |
City | TULSA |
State | OK |
Zip Code | 74103-3410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780121947 | Courtney Cheatham | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2017-01-26 |
1407398332 | Julie Bernstein | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2016-11-09 |
1346782422 | Christina Walker | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2016-11-07 |
1508255522 | Crystal Dawn Hays-hunter | Social Worker | 115 W 3rd St, Tulsa, OK 74103-3410 | 2015-01-14 |
1104221522 | Erin Blackwood | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2014-10-28 |
1235534652 | Brentan Laesch | Dietitian, Registered | 115 W 3rd St, Tulsa, OK 74103-3410 | 2014-10-28 |
1972908382 | Sarah Cortese | Dietitian, Registered | 115 W 3rd St, Tulsa, OK 74103-3410 | 2014-10-28 |
1144581752 | Tracy B. Scott | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2012-05-31 |
1003180167 | Deanna Gum | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2012-03-06 |
1851669246 | April Michelle Canaday | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2011-12-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497392476 | Polly Gretchen Robinson | Pharmacist | W 2nd St., Suite 100, Communitycare, Tulsa, OK 74103 | 2019-12-09 |
1639588387 | J.a.m.e.s. Incorporation | Community/Behavioral Health | 401 South Bostone Ave, 500-27, Tulsa, OK 74103 | 2014-08-07 |
1609205509 | Wynetta Littles | Behavioral Analyst | 401 S Boston Suite 400, Tulsa, OK 74103 | 2013-11-01 |
1013260512 | Courtney Lynn Warren | Nurse Practitioner | 300 N Denver Ave, Tulsa, OK 74103 | 2012-10-22 |
1992848618 | Carolyn Clarke Simpson | Counselor | 102 N. Denver, Tulsa, OK 74103 | 2007-02-14 |
1801826045 | Loretta A Farrell | Family Medicine | 100 West Fifth Street, Ll1020, Tulsa, OK 74103 | 2006-07-04 |
1306222104 | Cori Bryson | Case Manager/Care Coordinator | 102 N Denver, Tulsa, OK 74103 | 2015-08-04 |
1245651264 | Shannon Adcock | Counselor | 102 N Denver Ave, Tulsa, OK 74103 | 2013-12-17 |
1033469465 | Michael Stephen Lewis | Behavioral Analyst | 102 N Denver, Tulsa, OK 74103 | 2012-09-13 |
1619116431 | Patricia Eilzabeth Cox | Counselor | 102 N Denver Ave, Tulsa, OK 74103 | 2009-02-18 |
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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 |
1982260683 | Shawn Crismon | Pharmacist | 6802 S Olympia Ave Ste 125, Tulsa, OK 74132-1830 | 2019-05-17 |
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 |
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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.