Kongcheng Vahchuama, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

19919 Issued in OK

Practice address

12802 E 96TH St N
Owasso, OK 74055-5371

Phone

(918) 272-7467

NPI assigned

Dec 12, 2022

Last updated

Dec 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672444800000",
    "number": "1275244113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11613 N 158TH EAST AVE",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740215827",
            "telephone_number": "916-719-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 E 96TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555371",
            "telephone_number": "918-272-7467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11650 E 86th St N",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740552531",
            "country_code": "US",
            "telephone_number": "918-272-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHCHUAMA",
        "first_name": "KONGCHENG",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "19919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Underhill
• Rebecca Faye Undernehr, M.S., CCC-SLP
• Kayli Underwood
• Urgent Care of Green Country PLLC
• Urologic Specialists of Oklahoma Inc
• Valet Vision LLC (Valet Vision)
• Heather Ann Van Wyhe, DC
• Samantha Phoua Vang-Cheng, DO
• John Vang
• Arielle A Vann

• Pharmacist in Owasso, OK
• Providers in Owasso, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.