MR. THEODORE MAUCK DPH
NPI 1285114504
Pharmacist in Tulsa, OK

Active since August 16, 2018
1923 S UTICA AVE, TULSA, OK 74104(918) 744-3131(918) 744-3063 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Theodore Mauck Dph NPPES

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

MR. THEODORE MAUCK DPH (NPI 1285114504) is an individual pharmacist in Tulsa, Oklahoma, licensed in Oklahoma (12846) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1285114504
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. THEODORE MAUCKCredential: DPH
Location Address1923 S UTICA AVETulsa, OK 74104-6520
Mailing Address4013 W Vicksburg StBroken Arrow, OK 74011-1359 · (918) 633-2456
Fax(918) 744-3063
Sole ProprietorNo
Enumeration DateAugust 16, 2018
NPI 1285114504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OK · 12846
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1923 S UTICA AVE, Tulsa, OK 74104

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1923 S UTICA AVE
TULSA, OK 74104
Pathology (Anatomic Pathology & Clinical Pathology)
1923 S UTICA AVE
TULSA, OK 74104
Clinic/Center (Urgent Care)
1923 S UTICA AVE, DAVIS TOWER 200
TULSA, OK 74104
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1923 S UTICA AVE
TULSA, OK 74104
Pathology (Anatomic Pathology & Clinical Pathology)
1923 S UTICA AVE
TULSA, OK 74104
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1923 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1923 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner
1923 S UTICA AVE
TULSA, OK 74104

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 Theodore Mauck's NPI number?

The NPI number for Theodore Mauck is 1285114504. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Theodore Mauck located?

Theodore Mauck practices at 1923 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 744-3131.

What is Theodore Mauck's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Theodore Mauck was last updated on August 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.