Individual provider Active NPI

Nelly Ngweh Ayen, PHARMD

  • Pharmacist
  • Tyler, TX
National Provider Identifier
1194320580
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
66113 Issued in TX
Practice address
5012 Profit Dr
Tyler, TX 75707-1839
Phone
(855) 553-7200
Fax
(844) 508-3367
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 66113 TX Primary

Addresses

Primary practice location

5012 Profit Dr
Tyler, TX 75707-1839

Mailing address

5012 Profit Dr
Tyler, TX 75707-1839
Phone (214) 406-1544

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nayen@pharmscript.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1194320580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 PROFIT DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071839",
            "telephone_number": "214-406-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 PROFIT DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071839",
            "telephone_number": "855-553-7200",
            "fax_number": "844-508-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYEN",
        "first_name": "NELLY",
        "middle_name": "NGWEH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "66113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nayen@pharmscript.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5012 Profit Dr",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757071839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.