MR. WYATT EVANS LIVELY D.PH.
NPI 1679126627
Pharmacy - Community/Retail Pharmacy in Nowata, OK

Q: What is Wyatt Lively's NPI number?

The NPI number for Wyatt Lively is 1679126627. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Q: What is Wyatt Lively's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Wyatt Lively was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 18, 2019

128 E CHEROKEE AVE, NOWATA, OK 74048(918) 273-3825(918) 273-2251 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Wyatt Evans Lively D.ph. NPPES

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

MR. WYATT EVANS LIVELY D.PH. (NPI 1679126627) is an individual community/retail pharmacy provider in Nowata, Oklahoma, licensed in Oklahoma (18327) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1679126627

Entity TypeIndividualMale

Primary Taxonomy3336C0003X

Provider Legal NameMR. WYATT EVANS LIVELYCredential: D.PH.

Location Address128 E CHEROKEE AVENowata, OK 74048-2702

Mailing Address128 E Cherokee AveNowata, OK 74048-2702 · (918) 273-3825 · Fax (918) 273-2251

Phone(918) 273-3825

Fax(918) 273-2251

Sole ProprietorYes

Enumeration DateJuly 18, 2019

✔ NPI 1679126627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in OK · 18327

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

128 E CHEROKEE AVE, Nowata, OK 74048

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Other Providers at the Same Location NPPES

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

THE CITY DRUG, INC.

Pharmacy (Community/Retail Pharmacy)

128 E CHEROKEE AVE
NOWATA, OK 74048

Nowata County (918) 273-3825

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 Wyatt Lively's NPI number?

The NPI number for Wyatt Lively is 1679126627. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Wyatt Lively located?

Wyatt Lively practices at 128 E Cherokee Ave, Nowata, OK 74048. The listed phone number is (918) 273-3825.

What is Wyatt Lively's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Wyatt Lively was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.