What is Wyatt Lively's NPI number?

Wyatt Lively's National Provider Identifier (NPI) is 1679126627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Wyatt Lively's specialty?

Wyatt Lively is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy (Suppliers).

Where is Wyatt Lively located?

Wyatt Lively's practice location on file with NPPES is 128 E Cherokee Ave, Nowata, OK 74048-2702.

What is Wyatt Lively's phone number?

The practice phone number listed in the NPPES registry for Wyatt Lively is (918) 273-3825.

Is Wyatt Lively's NPI active?

Yes — Wyatt Lively's NPI (1679126627) is active in the NPPES registry as of the last update on 2019-07-18.

IndividualActive

Wyatt Lively, D.PH.

NPI 1679126627 · Community/Retail Pharmacy · Nowata, OK

Wyatt Lively, D.PH. is a Community/Retail Pharmacy provider in Nowata, OK (NPI 1679126627).

Provider details

NPI number: 1679126627
Entity type: Individual
Primary specialty: Community/Retail PharmacySuppliers
Credential: D.PH.
Sex: Male
Sole proprietor: Yes
License: 18327 (OK)

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 18327 (OK)
Suppliers

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

128 E Cherokee Ave

Nowata, OK 74048-2702

Phone: (918) 273-3825

Fax: (918) 273-2251

Street-level locationGet directions

More OK providers

Mailing address