Active NPI
Gold Maomee Xiong, PHARMD
- Pharmacist
- Broken Arrow, OK
National Provider Identifier
1093532004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18859
- Practice address
- 1100 E Kenosha St
Broken Arrow, OK 74012-2067 - Phone
- (918) 251-1295
- Fax
- (918) 251-2926
- NPI assigned
- Sep 21, 2024
- Sex
- Female
- 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 | 18859 | OK | Primary |
Addresses
Primary practice location
1100 E Kenosha St
Broken Arrow, OK 74012-2067
Mailing address
10854 S 305TH East Ave
Coweta, OK 74429-6800
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 |
|---|---|---|---|
| 18859 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1093532004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10854 S 305TH EAST AVE",
"city": "COWETA",
"state": "OK",
"postal_code": "744296800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E KENOSHA ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122067",
"telephone_number": "918-251-1295",
"fax_number": "918-251-2926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIONG",
"first_name": "GOLD",
"middle_name": "MAOMEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-21",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "18859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.