Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Rivera

Individual provider Pharmacist · NPI 1922696525

Jason Rivera is a Pharmacist in Ponca City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2021

Practice location Address checks out

1900 N 14th St
Ponca City, OK 74601-2035
Phone: (580) 765-0430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 14680 (OK)

Record details

NPI number1922696525
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 8, 2021
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 3, 2021
Mailing address1900 N 14th St, Ponca City, OK 74601-2035

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