Active NPI
Nelson Scott Edgeman, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Durant, OK
National Provider Identifier
1285190322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 13394
- Practice address
- 1800 W University Blvd
Durant, OK 74701-3006 - Phone
- (580) 931-2033
- NPI assigned
- Feb 13, 2019
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 13394 | OK | Primary |
Addresses
Primary practice location
1800 W University Blvd
Durant, OK 74701-3006
Mailing address
1800 W University Blvd
Durant, OK 74701-3006
Phone (580) 931-2033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13394 | Other | OK | STATE LICENSE |
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 |
|---|---|---|---|
| 13394 | OK | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgeman Health LLC | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1285190322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W UNIVERSITY BLVD",
"city": "DURANT",
"state": "OK",
"postal_code": "747013006",
"telephone_number": "580-931-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W UNIVERSITY BLVD",
"city": "DURANT",
"state": "OK",
"postal_code": "747013006",
"telephone_number": "580-931-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGEMAN",
"first_name": "NELSON",
"middle_name": "SCOTT",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OK",
"license": "13394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "13394",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.