Active NPI
Cedric A Tchoumbou, PHARMD
- Pharmacist
- Scottsburg, IN
National Provider Identifier
1235853870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26028041A
- Practice address
- 815 W McClain Ave
Scottsburg, IN 47170-1127 - Phone
- (812) 752-4448
- NPI assigned
- Sep 27, 2022
- Last updated
- Sep 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 26028041A | IN | Primary |
Addresses
Primary practice location
815 W McClain Ave
Scottsburg, IN 47170-1127
Mailing address
815 W McClain Ave
Scottsburg, IN 47170-1127
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 |
|---|---|---|---|
| 26028041A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1235853870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 W MCCLAIN AVE",
"city": "SCOTTSBURG",
"state": "IN",
"postal_code": "471701127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 W MCCLAIN AVE",
"city": "SCOTTSBURG",
"state": "IN",
"postal_code": "471701127",
"telephone_number": "812-752-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TCHOUMBOU",
"first_name": "CEDRIC",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26028041A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsburg, IN
- St. Luke's Medical Ministry
- Stay at Home Care Inc (Home Helpers Location #58297)
- Lisa E. Steele, M.S., C.C.C./SLP
- Still Water Individual and Family Therapy Services, Inc.
- Christopher Logan Stroud
- Joan E Terry, LCSW
- The Health and Hospital Corporation of Marion County (Lake Pointe Village)
- The Waters of Scottsburg, LLC
- Nathan F. Thompson, DMD
- Valerie A Turpen, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.