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Colby Greuel

Pharmacist β€’ Glenpool, OK

Active NPI 1457836728 Individual Practitioner Male Practitioner
Practice location in NPPES

12100 S Yukon Ave Ste A
Glenpool, OK 740336621

Call 9183214054 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

12100 S Yukon Ave Ste A

Glenpool, OK 740336621

Telephone 9183214054
Fax 9185521030
Organization at the Same NPPES Address or Phone
Rose Rock Pharmacy, Llc Facility NPI 1649901265

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Wagoner, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

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 Glenpool and Oklahoma

8 active clinicians are listed under Pharmacist with a practice address in Glenpool, 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

Self-certified to NPPES: 2022-06-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OK 17704

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

Secondary Practice Locations

326 E Cherokee St

Wagoner, OK 744674706

Phone: 9184852317

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 June 27, 2022

Registered at 12100 S YUKON AVE STE A, GLENPOOL, OK 740336621 (Tel: 9183214054)

πŸ“
Updated Business Mailing Address June 27, 2022

Registered at 12100 S YUKON AVE STE A, GLENPOOL, OK 740336621 (Tel: 9183214054)

πŸ“
Updated Business Mailing Address November 16, 2018

Registered at 326 E CHEROKEE ST, WAGONER, OK 744674706 (Tel: 9184852317)

βœ…
NPI Profile Active October 02, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 02, 2018

Registered at 326 E CHEROKEE ST, WAGONER, OK 744674706 (Tel: 9184852317)

πŸ“
Business Mailing Address (Initial Record) October 02, 2018

Registered at 27125 E 123RD ST S, COWETA, OK 744291019 (Tel: 9186888927)

πŸ‘€
Provider Name / Credentials (Initial Record) October 02, 2018

Recorded as COLBY GREUEL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2018

Pharmacist (license number reported to NPPES: OK 17704)

🟒
Initial NPI Registration & Enumeration October 02, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457836728
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2018
Last Update: June 27, 2022
Sole Proprietor: No

Mailing Address

12100 S Yukon Ave Ste A

Glenpool, OK 740336621

Phone: 9183214054

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.