Revan Inc
NPI 1396208757ActiveOrganization· Pharmacy· Warr Acres, OK
Pharmacy in Warr Acres, Oklahoma, registered in NPPES in April 2019. The authorized official on file is Jason Robert Revel, PHARM.D., Owner/Pharmacist In Charge. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1396208757 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2019 |
| Last updated in NPPES | Dec 31, 2025 |
| Certified by provider | Dec 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (OK) |
|---|
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