Healthcare Provider Details

I. General information

NPI: 1184908469
Provider Name (Legal Business Name): JASON SCOTT GIRARD PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2011
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7925 NW EXPRESSWAY
OKLAHOMA CITY OK
73132-1566
US

IV. Provider business mailing address

7925 NW EXPRESSWAY
OKLAHOMA CITY OK
73132-1566
US

V. Phone/Fax

Practice location:
  • Phone: 405-728-1392
  • Fax:
Mailing address:
  • Phone: 405-728-1392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number13368
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number13368
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13368
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number13368
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: