Humphrey Tayong Tekum

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD13863 Issued in AR

Practice address

2503 W 28TH Ave
Pine Bluff, AR 71603-5053

Phone

(879) 870-6084

NPI assigned

Sep 2, 2020

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

State licenses

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1609480185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LAMARCHE PLACE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "612-598-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 W 28TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035053",
            "telephone_number": "879-870-6084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 lamarche place",
            "address_purpose": "LOCATION",
            "city": "little rock",
            "state": "AR",
            "postal_code": "722237222",
            "country_code": "US",
            "telephone_number": "612-598-3940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEKUM",
        "first_name": "HUMPHREY",
        "middle_name": "TAYONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD13863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarneisheia Monik Tate
• Mauro Jose Taveras Alcantara, M.D.
• Charles Garrett Taylor II, DDS
• Sonya Taylor
• Valerie R Taylor
• J. Greg Temple, DDS
• Joshua Tennyson
• Letera Kassahun Terefasa, MD
• Mervin Dale Terrell, M.D.
• The Gardens at Whispering Knoll

• Pharmacist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.