Active NPI
Roland Tchouan Ntankeu
- Pharmacist
- Fayetteville, NC
National Provider Identifier
1013455807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24000
- Practice address
- 1550 Skibo Rd
Fayetteville, NC 28303-3478 - Phone
- (910) 868-5242
- NPI assigned
- Feb 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24000 | NC | Primary |
Addresses
Primary practice location
1550 Skibo Rd
Fayetteville, NC 28303-3478
Mailing address
8139 Kings Creek Dr
Charlotte, NC 28273-5618
Phone (816) 446-6662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24000 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1013455807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8139 KINGS CREEK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735618",
"telephone_number": "816-446-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 SKIBO RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283033478",
"telephone_number": "910-868-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NTANKEU",
"first_name": "ROLAND",
"middle_name": "TCHOUAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-01",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.