Active NPI
Daniel Nunn, DPH
- Pharmacist
- Shawnee, OK
National Provider Identifier
1093037913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11628
- Practice address
- 2323 N Harrison St
Shawnee, OK 74804-3134 - Phone
- (405) 275-2355
- Fax
- (405) 275-4491
- NPI assigned
- Feb 19, 2010
- Last updated
- Feb 19, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 11628 | OK | Primary |
Addresses
Primary practice location
2323 N Harrison St
Shawnee, OK 74804-3134
Mailing address
2323 N Harrison
Shawnee, OK 74804
Phone (405) 275-2355
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 |
|---|---|---|---|
| 11628 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1093037913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 N HARRISON",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "74804",
"telephone_number": "405-275-2355",
"fax_number": "405-275-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 N HARRISON ST",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748043134",
"telephone_number": "405-275-2355",
"fax_number": "405-275-4491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNN",
"first_name": "DANIEL",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.