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Deactivated NPI 1225196462 Deactivated / Inactive NPI Male Practitioner

Clyde Ernest Miller , PHARMACIST

Pharmacist • Midwest City, 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, Clyde Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2006
NPI Deactivation Date January 30, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Clyde Miller, PHARMACIST was a registered Pharmacist practicing in Midwest City, OK. Throughout an active medical career spanning 16 years, Clyde Miller provided care at the practice location at 249 N DOUGLAS BLVD until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

249 N Douglas Blvd

Midwest City, OK 731303309

Telephone 4057414411
Fax 4057337260
Associated Practice Facility / Clinic
🏢 Twin R No 2 Inc Facility NPI 1043303472

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Midwest City, OK

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

Practicing in Midwest City, 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 8614

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

2 Associated Practitioners
NPI 1457092066
NPI 1902974132

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 January 30, 2022

Record deactivated on January 30, 2022

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 249 N DOUGLAS BLVD, MIDWEST CITY, OK 731303309 (Tel: 4057414411)

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Updated Business Mailing Address July 08, 2007

Registered at 15200 ROLLING TERRACE DR, OKLAHOMA CITY, OK 731657228 (Tel: 4054143282)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CLYDE MILLER, PHARMACIST

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

Pharmacist (License #8614 in OK)

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Initial NPI Registration & Enumeration December 04, 2006

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: 1225196462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: July 08, 2007
Deactivation Date: January 30, 2022

Mailing Address

15200 Rolling Terrace Dr

Oklahoma City, OK 731657228

Phone: 4054143282

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.