MARJAN P. FARDADFARD (NPI# 1376916049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376916049 |
| Entity Type | Individual |
| Full Name | MARJAN P. FARDADFARD |
| Credential | PHARM.D, CGP |
| Practice Address |
4149 Highline Blvd Ste 300 Oklahoma City OK 73108-2097 |
| Mailing Address |
4500 N Cooper Ave Oklahoma City OK 73118-7803 |
| Practice Telephone | 8009409963 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2016-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14565 | OK | Pharmacy Service Providers |
| Street Address |
4149 HIGHLINE BLVD STE 300 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73108-2097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407045503 | Paula Allene Dillingham | Pharmacist | 4149 Highline Blvd Ste 300, Oklahoma City, OK 73108-2097 | 2007-10-15 |
| 1861838286 | Crystal Marie Makes Cry | Pharmacist | 4149 Highline Blvd Ste 300, Oklahoma City, OK 73108-2097 | 2013-05-13 |
| 1578740817 | Langsam Health Services LLC | Pharmacy | 4149 Highline Blvd Ste 300, Oklahoma City, OK 73108-2097 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316477714 | Dionna Danielle Weixel | Counselor | 4341 Will Rogers Parkway, Oklahoma City, OK 73108 | 2017-06-18 |
| 1497205389 | Amber Croom | Case Manager/Care Coordinator | 909 S Meridian Ave Ste 525, Oklahoma City, OK 73108 | 2016-10-04 |
| 1063837524 | Bobby King | Counselor | 401 46th St., Oklahoma City, OK 73108 | 2014-02-20 |
| 1104167816 | Chad Jeffrey Perry | Physical Therapy Assistant | 238 Quadrum Drive, Oklahoma City, OK 73108 | 2013-03-05 |
| 1295071918 | Avalon Corrections | Case Management | 400 S. May, Oklahoma City, OK 73108 | 2012-12-28 |
| 1164608790 | American Current Care P.a. | Clinic/Center | 200 Quadrum Drive, Oklahoma City, OK 73108 | 2008-01-14 |
| 1790960672 | Fresh Start Counseling Services Inc | Community/Behavioral Health | 4801 Classen Boulevard, Suite 159, Oklahoma City, OK 73108 | 2008-01-09 |
| 1366644577 | Saints Medical Group, LLC | Physician Assistant | 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 | 2007-06-01 |
| 1902027287 | Joel William Corn | Family Medicine | 1506 S Agnew, Okha City, OK 73108 | 2007-05-02 |
| 1851493944 | Good Shepherd Hospice Inc | Hospice Care, Community Based | 4350 Will Rogers Parkway, Suite 400, Oklahoma City, OK 73108 | 2006-09-01 |
| Find all providers in zip 73108 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345824 | Kermit Eugene Kay | Pharmacist | 5401 N Portland Ave Ste 250, Oklahoma City, OK 73112-2082 | 2019-03-18 |
| 1306446885 | Jesse Baker Adams | Pharmacist | 13503 S Santa Fe Ave, Oklahoma City, OK 73170-7314 | 2020-10-26 |
| 1407492622 | Sage Hendrickson | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2019-11-22 |
| 1811531619 | Julia Marina Chiappe | Pharmacist | 5915 W Memorial Rd Ste 300, Oklahoma City, OK 73142-2022 | 2019-11-05 |
| 1528620978 | Ian Sanders | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2019-07-06 |
| 1225593403 | Tammy Goldie Spears | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2019-02-01 |
| 1205211182 | Lindsey Mews | Pharmacist | 3435 Nw 56th St, Suite 101, Oklahoma City, OK 73112-4448 | 2015-07-21 |
| 1629477120 | Max Eugene Burchett-zuniga Jr. | Pharmacist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2014-08-20 |
| 1861838286 | Crystal Marie Makes Cry | Pharmacist | 4149 Highline Blvd Ste 300, Oklahoma City, OK 73108-2097 | 2013-05-13 |
| 1871846741 | Nicole Avant | Pharmacist | 900 Ne 10th St, Oklahoma City, OK 73104-5420 | 2012-10-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73108 |
Please comment or provide details below to improve the information on MARJAN P. FARDADFARD.
| 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.