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Dr. Amanda Crystal Mills Rodriguez , PharmD

Pharmacist β€’ Choctaw, OK

Active NPI 1649383217 Individual Practitioner Female Practitioner
Practice location in NPPES

14890 Se 29th St
Choctaw, OK 73020

Call 4053903205 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14890 Se 29th St

Choctaw, OK 73020

Telephone 4053903205
Fax 4057379554
Organization at the Same NPPES Address or Phone
Ptms 3.0, Llc Facility NPI 1316024441

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Choctaw and Oklahoma

9 active clinicians are listed under Pharmacist with a practice address in Choctaw, OK (3,352 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OK 13787

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1558037945

Doctor of Physical Therapy

Meredith Bailey , PT

Physical Therapist

NPI 1891102075

Physical Therapist

NPI 1538442769

Physical Therapist, Doctor of Physical Therapy

Dr. Chandler Fry , DPT

Physical Therapist

NPI 1376169011

Doctor of Physical Therapy

Jeffrey Hogan , PT, MPT

Physical Therapist

NPI 1053395319

Physical Therapist, Master of Physical Therapy

Kimberly Khan , ARNP

Nurse Practitioner - Family

NPI 1205149507

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 30, 2025

Registered at 14890 SE 29TH ST, CHOCTAW, OK 73020 (Tel: 4053903205)

πŸ“
Updated Business Mailing Address January 30, 2025

Registered at 10300 DOVE CROSSING RD, NEWALLA, OK 74857 (Tel: 4058186036)

πŸ‘€
Provider Name / Credentials Updated January 30, 2025

Recorded as AMANDA RODRIGUEZ, PHARM. D.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 7128 E RENO AVE, SUITE A, MIDWEST CITY, OK 731104478 (Tel: 4057373464)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3000 NANTUCKET LN, EDMOND, OK 730132965 (Tel: 4052857693)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as AMANDA MILLS, PHARM D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (license number reported to NPPES: OK 13787)

🟒
Initial NPI Registration & Enumeration August 16, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649383217
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: January 30, 2025
Sole Proprietor: No

Mailing Address

10300 Dove Crossing Rd

Newalla, OK 74857

Phone: 4058186036

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.