Sara Pezeshkian
Pharmacy in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1831784982
StatusActive
Last updated in NPPESMar 1, 2021
Details
- NPI
- 1831784982
- Entity type
- Individual (NPI-1)
- Name
- Sara Pezeshkian
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2021
- Certification date
- Mar 1, 2021
- Last updated
- Mar 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 18807 | OK | Yes |
Practice location
13924 N Pennsylvania AveOklahoma City, OK 73134-6021
Phone 405-752-0511
Mailing address
1705 W Wilshire BlvdNichols Hills, OK 73116-4113
Phone 405-488-7130
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 61 Pharmacy providers in Oklahoma City · All 27,799 providers in Oklahoma City
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