Healthcare Provider Details

I. General information

NPI: 1366259871
Provider Name (Legal Business Name): JARED SCHAEFER PHARM.D., BCPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 NW EXPRESSWAY STE 700
OKLAHOMA CITY OK
73112-4492
US

IV. Provider business mailing address

3400 NW EXPRESSWAY STE 700
OKLAHOMA CITY OK
73112-4492
US

V. Phone/Fax

Practice location:
  • Phone: 405-949-3816
  • Fax:
Mailing address:
  • Phone: 405-949-3816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835S0206X
TaxonomySolid Organ Transplant Pharmacist
License Number15782
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: