Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528340874 Individual Practitioner Female Practitioner

Debra J Polk-Mauterer , DPH

Pharmacist • Moore, OK

Professional Overview & Biography Verified Profile Summary

Debra Polk-Mauterer, DPH is a registered healthcare professional specializing in Pharmacist in Moore, OK. Practice services are available at 1041 SW 19TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1041 Sw 19th St

Moore, OK 731602806

Telephone 4057931803
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1982611802

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Moore, OK

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

Practicing in Moore, 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 12040

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100243890D (OK)

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1043591449

Doctor of Pharmacy (Pharm.D.)

Betty Njoh

Pharmacist

NPI 1205487899
NPI 1457633141

Doctor of Pharmacy (Pharm.D.)

Joann Lam

Pharmacist

NPI 1568936862
NPI 1619259090

Doctor of Pharmacy (Pharm.D.)

NPI 1629359385

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2011

Registered at 1041 SW 19TH ST, MOORE, OK 731602806 (Tel: 4057931803)

📍
Updated Business Mailing Address September 13, 2011

Registered at 3805 NW PIONEER ST, NORMAN, OK 730721245 (Tel: 4053296090)

👤
Provider Name / Credentials Updated September 13, 2011

Recorded as DEBRA POLK-MAUTERER, DPH.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2011

Pharmacist (License #12040 in OK)

🟢
Initial NPI Registration & Enumeration September 13, 2011

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: 1528340874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2011
Last Update: September 13, 2011
Sole Proprietor: Yes

Mailing Address

3805 Nw Pioneer St

Norman, OK 730721245

Phone: 4053296090

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.