Individual provider Active NPI

Zachary Feightner, DPH.

  • Pharmacist
  • Ponca City, OK
National Provider Identifier
1083210306
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18199 Issued in OK
Practice address
2005 N 14TH St Ste 110
Ponca City, OK 74601-1919
Phone
(580) 762-7444
Fax
(580) 765-5110
NPI assigned
Dec 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18199 OK Primary

Addresses

Primary practice location

2005 N 14TH St Ste 110
Ponca City, OK 74601-1919

Mailing address

2005 N 14TH St Ste 110
Ponca City, OK 74601-1919
Phone (580) 762-7444

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

LicenseStateTypeSpecialty
18199OKMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1083210306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N 14TH ST STE 110",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011919",
            "telephone_number": "580-762-7444",
            "fax_number": "580-765-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 N 14TH ST STE 110",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011919",
            "telephone_number": "580-762-7444",
            "fax_number": "580-765-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIGHTNER",
        "first_name": "ZACHARY",
        "name_prefix": "Mr.",
        "credential": "DPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "18199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.