NA'DRA NIKESHA ROBERTSON (NPI# 1881208544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881208544 |
| Entity Type | Individual |
| Full Name | NA'DRA NIKESHA ROBERTSON |
| Credential | PHARMD |
| Practice Address |
9010 N 121st East Ave Owasso OK 74055-5358 |
| Mailing Address |
5210 E 81st St Apt 132 Tulsa OK 74137-2248 |
| Practice Telephone | 9184018001 |
| Mailing Telephone | 5015045043 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18912 | OK | Pharmacy Service Providers |
| Street Address |
9010 N 121ST EAST AVE |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-5358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295757912 | Oklahoma Cvs Pharmacy LLC | Pharmacy | 9010 N 121st East Ave, Owasso, OK 74055-5358 | 2006-07-24 |
| 1174177786 | Meagan Holley | Pharmacist | 9010 N 121st East Ave, Owasso, OK 74055-5358 | 2019-07-31 |
| 1366884181 | Ashley Sullivan | Pharmacist | 9010 N 121st East Ave, Owasso, OK 74055-5358 | 2013-07-22 |
| 1962846899 | Ben Lee Strickland | Pharmacist | 9010 N 121st East Ave, Owasso, OK 74055-5358 | 2013-04-22 |
| 1912294539 | Melissa Dawn Blundell | Pharmacist | 9010 N 121st East Ave, T-2095, Owasso, OK 74055-5358 | 2011-07-03 |
| 1891080446 | Jone Post | Pharmacist | 9010 N 121st East Ave, Target T-2095, Owasso, OK 74055-5358 | 2011-06-12 |
| 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.