Active NPI
Nelson Ngwana Ayangho, PHARMD
- Pharmacist
- Knoxville, TN
National Provider Identifier
1093495202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47051
- Practice address
- 612 Calthorpe LN
Knoxville, TN 37912-2145 - Phone
- (240) 486-3863
- NPI assigned
- Jul 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202221382 | VA | |
| Pharmacist | 183500000X | 47051 | TN | Primary |
Addresses
Primary practice location
612 Calthorpe LN
Knoxville, TN 37912-2145
Mailing address
612 Calthorpe LN
Knoxville, TN 37912-2145
Phone (240) 486-3863
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202221382 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1093495202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 CALTHORPE LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379122145",
"telephone_number": "240-486-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 CALTHORPE LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379122145",
"telephone_number": "240-486-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYANGHO",
"first_name": "NELSON",
"middle_name": "NGWANA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202221382",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "47051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.