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Dr. Jamie Lyn Shaddon , PharmD

Pharmacist - Pharmacotherapy • Clinton, OK

Active NPI 1194723015 Individual Practitioner Female Practitioner
Practice location in NPPES

Rr 1 Box 3060
Clinton, OK 736019303

Call 5803232884 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

Rr 1 Box 3060

Clinton, OK 736019303

Telephone 5803232884
Fax 5803232579
Organization at the Same NPPES Address or Phone
Us Public Health Service Indian Health Facility NPI 1750680765

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

NPI first issued

2005

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, “Does 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 Clinton and Oklahoma

5 active clinicians are listed under Pharmacist - Pharmacotherapy with a practice address in Clinton, OK (131 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Addresses are self-reported to NPPES and may be out of date.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 · Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacist - Pharmacotherapy Primary Specialty

NUCC Taxonomy Code: 1835P1200X

License # reported to NPPES OK 10604

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

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.

3 listed
Jessica Acosta-Van Den Berg , APRN-CNP

Nurse Practitioner - Family

NPI 1922404888

Advanced Practice Registered Nurse - Certified Nurse Practitioner

NPI 1275698862

Doctor of Medicine (M.D.)

NPI 1144976705

Doctor of Dental Surgery

Career & Practice History

NPI enumerated July 13, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1194723015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

331 Shale Crst

Clinton, OK 736013647

Phone: 5803232884

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.