Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285114504 Individual Practitioner Male Practitioner

Theodore Mauck , DPH

Pharmacist • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Theodore Mauck, DPH is a registered healthcare professional specializing in Pharmacist in Tulsa, OK. Practice services are available at 1923 S UTICA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1923 S Utica Ave

Tulsa, OK 741046520

Telephone 9187443131
Fax 9187443063
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tulsa, OK

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

Practicing in Tulsa, 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 12846

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

40 Associated Practitioners
Lindsey Wedlake , APRN

Nurse Practitioner

NPI 1023961158

Advanced Practice Registered Nurse

Angelica Teagle , MTS, BCC

Religious Nonmedical Practitioner

NPI 1144901729
Dr. Ehab Hady , MD

Internal Medicine

NPI 1164186383

Doctor of Medicine (M.D.)

Brooke Albert

Registered Nurse

NPI 1164317038
Dr. Mark Mills , PharmD

Pharmacist - Pharmacotherapy

NPI 1174527667

Doctor of Pharmacy (Pharm.D.)

NPI 1174564496

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 August 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2018

Registered at 1923 S UTICA AVE, TULSA, OK 741046520 (Tel: 9187443131)

📍
Updated Business Mailing Address August 16, 2018

Registered at 4013 W VICKSBURG ST, BROKEN ARROW, OK 740111359 (Tel: 9186332456)

👤
Provider Name / Credentials Updated August 16, 2018

Recorded as THEODORE MAUCK, DPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2018

Pharmacist (License #12846 in OK)

🟢
Initial NPI Registration & Enumeration August 16, 2018

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: 1285114504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2018
Last Update: August 16, 2018
Sole Proprietor: No

Mailing Address

4013 W Vicksburg St

Broken Arrow, OK 740111359

Phone: 9186332456

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.