DR. JEREMY BYMASTER (NPI# 1467692475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467692475 |
| Entity Type | Individual |
| Full Name | DR. JEREMY BYMASTER |
| Credential | PHARMD |
| Practice Address |
10502 N 110th East Ave Owasso OK 74055-6655 |
| Practice Telephone | 9183768168 |
| Practice Fax Number | 9183768165 |
| Mailing Telephone | 9183768168 |
| Mailing Fax Number | 9183768165 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13577 | OK | Pharmacy Service Providers |
| Street Address |
10502 N 110TH EAST AVE |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-6655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588652929 | Gregory Paul Disalvatore | Family Medicine | 10502 N 110th East Ave, Owasso, OK 74055-6655 | 2005-10-10 |
| 1316597131 | Emilee Legg | Physical Therapy Assistant | 10502 N 110th East Ave, Owasso, OK 74055-6655 | 2019-09-13 |
| 1811352776 | Bird Creek Emergency Physicians LLC | Emergency Medicine | 10502 N 110th East Ave, Owasso, OK 74055-6655 | 2015-12-20 |
| 1053623884 | Wesley Updike | Family Medicine | 10502 N 110th East Ave, Owasso, OK 74055-6655 | 2010-07-09 |
| 1255517348 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 10502 N 110th East Ave, Owasso, OK 74055-6655 | 2008-01-18 |
| 1790984938 | Mark P Britt, Md Pllc | Internal Medicine | 10502 N 110th East Ave, Ste 334, Owasso, OK 74055-6655 | 2007-07-17 |
| 1932287281 | Ronald Steve Stevens | Anesthesiology | 10502 N 110th East Ave, Owasso, OK 74055-6627 | 2006-11-02 |
| 1720165830 | Green Country Emergency Physicians Group of Owasso Pllc | Emergency Medicine | 10502 N 110th East Ave, Owasso, OK 74055-6655 | 2006-11-01 |
| 1205846037 | Bailey Medical Center, LLC | General Acute Care Hospital | 10502 N 110th East Ave, Owasso, OK 74055-6655 | 2006-08-08 |
| 1619996030 | Pamala Lea Wilson | Nurse Anesthetist, Certified Registered | 10502 N 110th East Ave, Owasso, OK 74055-6627 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| 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 |
|---|---|---|---|---|
| 1932744034 | Martin Pecina | Pharmacist | 6802 E 88th St N, Owasso, OK 74055-7593 | 2019-11-12 |
| 1649740333 | Ryan Dean Flanary | Pharmacist | 12802 E 86th St N, Owasso, OK 74055-2552 | 2018-11-26 |
| 1659713873 | April Breanne Denney | Pharmacist | 8286 N 72nd East Ave, Owasso, OK 74055-5520 | 2013-07-30 |
| 1689921678 | Jessica Edem Kanwhen | Pharmacist | 9401 E 91st St N, Owasso, OK 74055-3035 | 2012-08-08 |
| 1750650883 | Bob L Blackburn | Pharmacist | 13806 E 94th St N, Owasso, OK 74055-4566 | 2011-12-19 |
| 1376143388 | Brittany Charlotte Jones | Pharmacist | 12905 E 96th St N, Owasso, OK 74055-4719 | 2020-10-28 |
| 1508466871 | Jeffrey Howell Morgan | Pharmacist | 12101 E 96th St N, Owasso, OK 74055-5320 | 2020-10-27 |
| 1215537782 | Jeremy Wade Gentry | Pharmacist | 12912 E 86th St N, Owasso, OK 74055-8608 | 2020-10-26 |
| 1932709375 | Carla Jean Norton | Pharmacist | 12101 E 96th St N, Owasso, OK 74055-5320 | 2020-10-26 |
| 1922608413 | Amy Dawn Dwiggins | Pharmacist | 12101 E 96th St N, Owasso, OK 74055-5320 | 2020-10-26 |
| Find all providers in OWASSO | ||||
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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.