JERRY DAVID FRASER D.PH.
NPI 1083951248
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Muskogee, OK

Active since January 08, 2013
1101 HONOR HEIGHTS DR, PHARMACY DEPARTMENT, MUSKOGEE, OK 74401(918) 577-3185(918) 577-4463 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry David Fraser D.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY DAVID FRASER D.PH. (NPI 1083951248) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Muskogee, Oklahoma, licensed in Oklahoma (9765) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1083951248
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameJERRY DAVID FRASERCredential: D.PH.
Location Address1101 HONOR HEIGHTS DR, PHARMACY DEPARTMENTMuskogee, OK 74401-1302
Mailing Address1101 Honor Heights Dr, Pharmacy DepartmentMuskogee, OK 74401-1302 · (918) 577-3185 · Fax (918) 577-4463
Fax(918) 577-4463
Sole ProprietorYes
Enumeration DateJanuary 8, 2013
NPI 1083951248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in OK · 9765
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1101 HONOR HEIGHTS DR, Muskogee, OK 74401

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1101 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Registered Nurse
1101 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Registered Nurse (Critical Care Medicine)
1101 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Peer Specialist
1101 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Marriage & Family Therapist
1101 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Registered Nurse
1101 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Optometrist
1101 HONOR HEIGHTS DR, MUSKOGEE VAMC
MUSKOGEE, OK 74401
Registered Nurse
1101 HONOR HEIGHTS DR
MUSKOGEE, OK 74401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Fraser's NPI number?

The NPI number for Jerry Fraser is 1083951248. It was assigned to this individual provider in the NPPES registry on January 8, 2013.

Where is Jerry Fraser located?

Jerry Fraser practices at 1101 Honor Heights Dr Pharmacy Department, Muskogee, OK 74401. The listed phone number is (918) 577-3185.

What is Jerry Fraser's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jerry Fraser was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.