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REVAN INC
NPI 1396208757
Pharmacy in Warr Acres, OK

Active since April 11, 2019CLIA 37D2342278 · Waiver
5601 NW 72ND ST STE 142, WARR ACRES, OK 73132(888) 773-8267(888) 998-8267 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2025, Feb 3, 2021, Apr 23, 2020 and 2 more (5 updates tracked since 2019).

About Revan Inc NPPES

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

REVAN INC (NPI 1396208757) is a healthcare organization registered as a pharmacy in Warr Acres, Oklahoma and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Jason Robert Revel, Owner/pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1396208757
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameREVAN INC
Location Address5601 NW 72ND ST STE 142Warr Acres, OK 73132-5924
Mailing Address5601 Nw 72nd St Ste 142Warr Acres, OK 73132-5924
Phone(888) 773-8267
Fax(888) 998-8267
Organization SubpartNo
Authorized OfficialJason Robert RevelOwner/pharmacist In Charge · (405) 896-7978
Enumeration DateApril 11, 2019
Last NPPES UpdateDecember 31, 20255 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1396208757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
5601 NW 72ND ST STE 142, Warr Acres, OK 73132
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Other Identifiers 1

Medicaid200841490AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2342278

Revan Rx Revan Inc · Warr Acres, OK
Active · expires Apr 15, 2028
CLIA Number37D2342278
Laboratory TypePharmacy
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorJason R. Revel
Laboratory Phone(405) 896-7975
Laboratory LocationRevan Rx Revan Inc5601 NW 72nd St #142, Warr Acres, OK 73132
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

REVAN HEALTH LLC
Family Medicine
5601 NW 72ND ST STE 142
WARR ACRES, OK 73132
Oklahoma County (405) 896-7975
DR. JASON ROBERT REVEL PHARM.D.
Pharmacist
5601 NW 72ND ST STE 142
WARR ACRES, OK 73132
Oklahoma County (888) 773-8266
DR. STEPHEN MARC TAYLOR D.D.S.
Dentist (General Practice)
5601 NW 72ND ST STE 142
WARR ACRES, OK 73132
Oklahoma County (405) 722-4400

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 Revan Inc's NPI number?

The NPI number for Revan Inc is 1396208757. It was assigned to this organization in the NPPES registry on April 11, 2019.

Where is Revan Inc located?

Revan Inc is located at 5601 NW 72nd St Ste 142, Warr Acres, OK 73132. The listed phone number is (888) 773-8267.

What is Revan Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Revan Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2342278) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Revan Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Revan Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revan Inc was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.