Individual provider Active NPI

Lance Daren Lugafet, PHARMD

  • Pharmacist
  • Goldsby, OK
National Provider Identifier
1235612425
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15808 Issued in OK
Practice address
430 Haloka Ave
Goldsby, OK 73093-9728
Phone
(405) 370-2186
NPI assigned
Sep 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15808 OK Primary

Addresses

Primary practice location

430 Haloka Ave
Goldsby, OK 73093-9728

Mailing address

430 Haloka Ave
Goldsby, OK 73093-9728
Phone (405) 370-2186

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

LicenseStateTypeSpecialty
15808OKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1235612425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 HALOKA AVE",
            "city": "GOLDSBY",
            "state": "OK",
            "postal_code": "730939728",
            "telephone_number": "405-370-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 HALOKA AVE",
            "city": "GOLDSBY",
            "state": "OK",
            "postal_code": "730939728",
            "telephone_number": "405-370-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGAFET",
        "first_name": "LANCE",
        "middle_name": "DAREN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "15808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.