MEDICARE: JASON SCOTT GIRARD PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	13368	OK
2	333600000X	Pharmacy	13368	OK
3	183500000X	Pharmacist	13368	OK
4	3336C0003X	Community/Retail Pharmacy	13368	OK

General Provider Information

NPI Number	:	1184908469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON SCOTT GIRARD PHARMD

Provider Business Mailing Address
First Line	:	7925 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-1566
Country	:	US
Telephone Number	:	405-728-1392
Fax Number	:

Provider Business Practice Location Address
First Line	:	7925 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-1566
Country	:	US
Telephone Number	:	405-728-1392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2011
Last Update Date	:	12/09/2025

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