Provider Demographics
NPI:1033914981
Name:GREBE, KAYLA REED (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:REED
Last Name:GREBE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:REED
Other - Last Name:BUXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:425 RIDGEWOOD
Mailing Address - Street 2:
Mailing Address - City:NORTH ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-6533
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1018 N CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-3200
Practice Address - Country:US
Practice Address - Phone:580-599-6013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist