Active NPI
Nkegoa Ateh
- Pharmacist
- Enid, OK
National Provider Identifier
1447764139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17721
- Practice address
- 3915 W Garriott Rd
Enid, OK 73703-4802 - Phone
- (580) 237-2237
- NPI assigned
- Nov 17, 2017
- Last updated
- Nov 17, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 17721 | OK | Primary |
Addresses
Primary practice location
3915 W Garriott Rd
Enid, OK 73703-4802
Mailing address
3915 W Owen Garriott Rd
Enid, OK 73703
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17721 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1447764139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 W OWEN GARRIOTT RD",
"city": "ENID",
"state": "OK",
"postal_code": "73703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 W GARRIOTT RD",
"city": "ENID",
"state": "OK",
"postal_code": "737034802",
"telephone_number": "580-237-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATEH",
"first_name": "NKEGOA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-17",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "17721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.