MRS. JENNIFER LYNNE ELTAEB (NPI# 1265712905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265712905 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LYNNE ELTAEB |
| Credential | PHARMD |
| Practice Address |
6415 E Pine St Tulsa OK 74115-5432 |
| Practice Telephone | 9188340582 |
| Mailing Telephone | 9188340582 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13833 | OK | Pharmacy Service Providers |
| Street Address |
6415 E PINE ST |
| City | TULSA |
| State | OK |
| Zip Code | 74115-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962417923 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6415 E Pine St, Tulsa, OK 74115-5432 | 2006-07-29 |
| 1225531072 | Anait Pahlevanyan | Pharmacist | 6415 E Pine St, Tulsa, OK 74115-5432 | 2018-03-16 |
| 1427338912 | Ronald L Hackler | Pharmacist | 6415 E Pine St, Tulsa, OK 74115-5432 | 2011-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698899 | Pateisha Royal | Counselor | 7813 E. Independence St., Tulsa, OK 74115 | 2017-06-08 |
| 1154788750 | Heather Sisson-white | Case Manager/Care Coordinator | 132 N. Marion Ave, Tulsa, OK 74115 | 2016-01-27 |
| 1427234004 | American Current Care P.a. | Clinic/Center | 1541 North Sheridan Road, Tulsa, OK 74115 | 2008-01-14 |
| 1205031317 | Veera Aparanji Kaja | Dentist | 6801 E. Admiral Place, Tulsa, OK 74115 | 2007-06-19 |
| 1922137926 | Gregory L Mitchell | Preventive Medicine | 1515 N Harvard, Suite B, Tulsa, OK 74115 | 2007-03-05 |
| 1215942602 | G Chris Bussman | Dentist | 6716 E Pine, Tulsa, OK 74115 | 2006-07-31 |
| 1205870912 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | Bcchs Celia Clinton Elementary, 1740 N. Harvard Ave., Tulsa, OK 74115 | 2006-06-15 |
| 1356853832 | Phoenix Soleil-maria Cooper | Case Manager/Care Coordinator | 3641 E 36th St N, Tulsa, OK 74115-1702 | 2017-10-24 |
| 1215380449 | Taleya Mayberry | Case Manager/Care Coordinator | 4115 E 36th St N, Tulsa, OK 74115-1709 | 2016-07-23 |
| 1104925619 | Marsha Ann Basner | Nutritionist | 3324 E 30th Pl N, Tulsa, OK 74115-2421 | 2006-09-21 |
| Find all providers in zip 74115 | ||||
| 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 |
| 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.