DR. RANDALL STUCKEY (NPI# 1245703321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245703321 |
| Entity Type | Individual |
| Full Name | DR. RANDALL STUCKEY |
| Credential | DPH |
| Practice Address |
106 W Hwy 152 Mustang OK 73064 |
| Mailing Address |
1404 Continental Way Mustang OK 73064-2074 |
| Practice Telephone | 4053763340 |
| Practice Fax Number | 4053761390 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12048 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114361003 | Randall Mark Stuckey Jr. | Family Medicine | 3 Century Ave Se, Hutchinson, MN 55350-3108 | 2013-04-22 |
| Street Address |
106 W HWY 152 |
| City | MUSTANG |
| State | OK |
| Zip Code | 73064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306944020 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 106 W Hwy 152, Mustang, OK 73064 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760149 | Brian Angel Padilla | Student in an Organized Health Care Education/Training Program | 704 N White Tail Way, Mustang, OK 73064 | 2020-05-03 |
| 1346762564 | Mustang Dentistry & Braces | Clinic/Center | 1001 E. Highway 152, Suite 113, Mustang, OK 73064 | 2017-07-10 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1770996084 | Jennifer Chadd Wilbourn | Dentist | 500 N Financial Center Terrace, Suite D, Mustang, OK 73064 | 2014-06-04 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1053743252 | Misty Renee May | Counselor | 1558 E. Lake Aire Lane, Mustang, OK 73064 | 2013-07-30 |
| 1386901502 | John M Ketcher LLC | Optometrist | 1108 E. Hwy 152, Mustang, OK 73064 | 2012-04-12 |
| 1083995658 | Joseph J Gronigan | Counselor | 627 E Suera Terr., Mustang, OK 73064 | 2011-09-08 |
| Find all providers in zip 73064 | ||||
| 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 |
|---|---|---|---|---|
| 1821699927 | Machell Lyn Gable | Pharmacist | 951 E Sh 152, Mustang, OK 73064-5119 | 2020-11-04 |
| 1336740208 | Erin Burden | Pharmacist | 951 E State Highway 152, Mustang, OK 73064-5119 | 2020-11-05 |
| 1770184863 | Rebeccah Watson | Pharmacist | 951 E State Highway 152, Mustang, OK 73064-5119 | 2020-11-04 |
| 1649871146 | Nissy Thomas | Pharmacist | 951 E State Highway 152, Mustang, OK 73064-5119 | 2020-11-03 |
| 1245830546 | Johnathon Hobbs | Pharmacist | 951 E State Highway 152, Mustang, OK 73064-5119 | 2020-10-27 |
| 1659988277 | Deanna Marie Sowle | Pharmacist | 951 E State Highway 152, Mustang, OK 73064-5119 | 2020-09-28 |
| 1639782329 | Sierra Bellymule | Pharmacist | 112 E State Highway 152, Mustang, OK 73064-4402 | 2020-08-24 |
| 1972074284 | Selma Alami | Pharmacist | 103 E State Highway 152, Mustang, OK 73064-4406 | 2018-12-13 |
| 1629403555 | Laura Strand | Pharmacist | 112 E State Highway 152, Mustang, OK 73064-4402 | 2013-09-10 |
| 1750633244 | Rachel Van Der Hagen | Pharmacist | 112 E State Highway 152, Mustang, OK 73064-4402 | 2012-10-08 |
| Find all providers in MUSTANG | ||||
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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.