MEDICARE: MR. JEFFREY JAMES HUNTER DR

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	183500000X	Pharmacist	12249	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3723980	OTHER	OK	NCPDP
3	201319585	OTHER	OH	FEI

General Provider Information

NPI Number	:	1215913124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY JAMES HUNTER DR

Provider Business Mailing Address
First Line	:	9402 N MAY AVE
Second Line	:	SUITE D
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2701
Country	:	US
Telephone Number	:	405-749-0600
Fax Number	:	405-749-0799

Provider Business Practice Location Address
First Line	:	9402 N MAY AVE
Second Line	:	SUITE D
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2701
Country	:	US
Telephone Number	:	405-749-0600
Fax Number	:	405-749-0799

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	03/07/2023

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