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Deactivated NPI 1215058839 Deactivated / Inactive NPI Male Practitioner

Kyle Whitehead , RPH

Pharmacist • Enid, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kyle Whitehead has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 02, 2007
NPI Deactivation Date April 29, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Kyle Whitehead, RPH was a registered Pharmacist practicing in Enid, OK. Throughout an active medical career spanning 16 years, Kyle Whitehead provided care at the practice location at 1106 W WILLOW RD until profile deactivation on 2023-04-29.

Practice Location & Contact Primary Location

Practice Address

1106 W Willow Rd

Enid, OK 737032503

Telephone 5802344343
Fax 5802345477
Associated Practice Facility / Clinic
🏢 Evans Pharmacy Llc Facility NPI 1346274693

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Enid, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
53 Specialists

Practicing in Enid, OK (3455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OK 12229

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1033231865

Registered Pharmacist

NPI 1275318339

Doctor of Pharmacy (Pharm.D.)

NPI 1295280204

Doctor of Pharmacy (Pharm.D.)

Teresa Meyer

Pharmacist

NPI 1316104821
Kyle Blackburn , HIS

Hearing Instrument Specialist

NPI 1346870011
Brylyn Adams , LPN

Licensed Practical Nurse

NPI 1487258224

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 29, 2023

Record deactivated on April 29, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1106 W WILLOW RD, ENID, OK 737032503 (Tel: 5802344343)

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Updated Business Mailing Address July 08, 2007

Registered at 2817 LONDON LN, ENID, OK 737033144 (Tel: 5802421617)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KYLE WHITEHEAD, RPH

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

Pharmacist (License #12229 in OK)

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Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215058839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2007
Last Update: July 08, 2007
Deactivation Date: April 29, 2023

Mailing Address

2817 London Ln

Enid, OK 737033144

Phone: 5802421617

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.