Healthcare Provider Details

I. General information

NPI: 1013095470
Provider Name (Legal Business Name): WINTER JOY SMITH PHARM.D., BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WINTER JOY GIBBS PHARM.D., BCPS

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 N STONEWALL AVE
OKLAHOMA CITY OK
73117-1200
US

IV. Provider business mailing address

601 ROBERT S KERR AVE APT 114
OKLAHOMA CITY OK
73102-1831
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-6878
  • Fax: 405-271-6430
Mailing address:
  • Phone: 405-271-6878
  • Fax: 405-271-6430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number13715
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: