CRYSTAL MICHELLE ROBERTSON (NPI# 1952902645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952902645 |
| Entity Type | Individual |
| Full Name | CRYSTAL MICHELLE ROBERTSON |
| Practice Address |
1715 N Commerce St Ardmore OK 73401-1535 |
| Practice Telephone | 5802266444 |
| Mailing Telephone | 5805044137 |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2020-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12441 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275956955 | Crystal Goodman Robertson | Marriage & Family Therapist | 190 Currie Hall Pkwy, Ste A, Kent, OH 44240-4312 | 2014-01-30 |
| 1255600391 | Crystal Robertson | Speech-Language Pathologist | 18350 Mount Langley St, #105, Fountain Valley, CA 92708-6900 | 2011-12-19 |
| Street Address |
1715 N COMMERCE ST |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144247271 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1715 N Commerce St, Ardmore, OK 73401-1535 | 2006-07-16 |
| 1962003749 | Arthur M Hall | Pharmacist | 1715 N Commerce St, Ardmore, OK 73401-1535 | 2020-11-06 |
| 1679174163 | Yousef Abuesheh | Pharmacist | 1715 N Commerce St, Ardmore, OK 73401-1535 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| 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 |
|---|---|---|---|---|
| 1790329019 | Mark Warren Eck | Pharmacist | 4020 Rolling Hills Dr, Ardmore, OK 73401-9313 | 2019-10-30 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1184058372 | Kristin Lynae Brandenberger | Pharmacist | 2015 10th Ave Nw, Ardmore, OK 73401-2207 | 2013-08-24 |
| 1336356526 | Roberts Pharmacy | Pharmacist | 2377 Haverford Road, Ardmore, PA 19003 | 2007-05-17 |
| 1164578514 | Payless Pharmacy | Pharmacist | 29930 Ardmore Ave, Ardmore, AL 35739-7450 | 2007-01-26 |
| 1316956550 | William Edward Holt Jr. | Pharmacist | 30508 Ardmore Ave, Ardmore, AL 35739-7443 | 2006-08-05 |
| 1144241811 | Susan Louise Tigert | Pharmacist | 35 Tiffany Plz Ste C, Ardmore, OK 73401-2526 | 2006-07-21 |
| 1861425217 | Dorothy Gourley | Pharmacist | 1112 Rockford Rd S, Ardmore, OK 73401-3437 | 2006-07-09 |
| 1841284395 | Henry L Roberts | Pharmacist | 1306 12th Ave Nw, Ardmore, OK 73401-1285 | 2005-09-09 |
| 1962003749 | Arthur M Hall | Pharmacist | 1715 N Commerce St, Ardmore, OK 73401-1535 | 2020-11-06 |
| Find all providers in ARDMORE | ||||
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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.