DR. ANDREA J SELF (NPI# 1720206576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720206576 |
| Entity Type | Individual |
| Full Name | DR. ANDREA J SELF |
| Credential | DPH |
| Practice Address |
710 E Shawntell Smith Blvd Muldrow OK 74948 |
| Mailing Address |
Po Box 1109 Muldrow OK 74948-1109 |
| Practice Telephone | 9184273243 |
| Practice Fax Number | 9184276678 |
| Mailing Telephone | 9184273243 |
| Mailing Fax Number | 9184276678 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12140 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437590023 | Andrea Marie Self | Social Worker | 2960b Old Austin Peay Hwy, Memphis, TN 38128-5631 | 2013-07-11 |
| 1881783959 | Andrea M Self | Counselor | 350 Salem Road Suite 1, Conway, AR 72034 | 2006-10-12 |
| Street Address |
710 E SHAWNTELL SMITH BLVD |
| City | MULDROW |
| State | OK |
| Zip Code | 74948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902285877 | Renegade Counseling, Pllc | Community/Behavioral Health | 809-b South Birch Street, Muldrow, OK 74948 | 2015-05-26 |
| 1154676633 | Nikki Earnhart | Speech-Language Pathologist | 2314 E. Shawntel Smith, Muldrow, OK 74948 | 2012-07-19 |
| 1467771881 | Cathy Wood | Counselor | 473101 E 1127 Rd, Muldrow, OK 74948 | 2010-05-25 |
| 1780603134 | Premier Home Health Care, Inc. | Home Health | 1016 E. Shawntel Smith Boulevard, Suite 2, Muldrow, OK 74948 | 2006-07-18 |
| 1386634905 | Bennie Frank Cheek | Family Medicine | 710 E Shawntel Smith Blvd, Suite B, Muldrow, OK 74948 | 2005-10-25 |
| 1558580316 | Muldrow Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 710 E Shawntel Smith Blvd, Muldrow, OK 74948 | 2007-04-24 |
| 1578656732 | Broadway Corner Drug | Pharmacy | 101 E Shawntel Smith Blvd, Muldrow, OK 74948 | 2006-10-02 |
| 1033245733 | Don R. Morton | Dentist | 310 East Shawntel Smith Blvd., Muldrow, OK 74948-0409 | 2007-02-26 |
| 1902860471 | Muldrow Public School | Public Health or Welfare | 715 West Shawntel Smith Blvd., Muldrow, OK 74948-0660 | 2006-04-13 |
| 1447320502 | Muldrow Pharmacy Inc. | Pharmacy | 710 E Shawntel Smith Blvd, Muldrow, OK 74948-1109 | 2006-11-08 |
| Find all providers in zip 74948 | ||||
| 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 |
|---|---|---|---|---|
| 1033192646 | Rhonda Mccombs | Pharmacist | 101 E Shawntel Smith Blvd, Muldrow, OK 74948-4416 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699927 | Machell Lyn Gable | Pharmacist | 951 E Sh 152, Mustang, OK 73064-5119 | 2020-11-04 |
| 1972104099 | James R Hargis | Pharmacist | 1820 Rosedale Dr, Edmond, OK 73013-6638 | 2020-11-04 |
| 1912508003 | Tyler O Mattocks | Pharmacist | 3571 W Rock Creek Rd, Norman, OK 73072-2473 | 2020-11-04 |
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1285234864 | April Holmes | Pharmacist | 220 S Highway 97, Sand Springs, OK 74063-6571 | 2020-10-31 |
| 1932709664 | Nouha Hilal | Pharmacist | 8241 S 100th East Pl, Tulsa, OK 74133-4545 | 2020-10-30 |
| 1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1023618360 | Michelle Lam | Pharmacist | 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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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.