Active NPI
Macmoni H Ouk, PHARMD, RPH.
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1174387799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72138
- Practice address
- 12600 N Beach St
Fort Worth, TX 76244-4200 - Phone
- (817) 562-3901
- Fax
- (817) 562-3903
- NPI assigned
- Feb 13, 2024
- 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 | 72138 | TX | Primary |
Addresses
Primary practice location
12600 N Beach St
Fort Worth, TX 76244-4200
Mailing address
9501 Garden Wood Dr Apt 314
Fort Worth, TX 76118-4716
Phone (469) 615-8259
Other names 1
- Dr. Mac H Ouk
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72138 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas LP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1174387799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 GARDEN WOOD DR APT 314",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761184716",
"telephone_number": "469-615-8259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 N BEACH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762444200",
"telephone_number": "817-562-3901",
"fax_number": "817-562-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUK",
"first_name": "MACMONI",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "72138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAC",
"last_name": "OUK",
"middle_name": "H",
"prefix": "DR.",
"credential": "PHARMD, RPH.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.