Active NPI
Eugene NMN Eng, PHARM.D., D.PH.
- Pharmacist
- Broken Arrow, OK
National Provider Identifier
1619977071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9925
- Practice address
- 3701 S Elm PL
Broken Arrow, OK 74011-1804 - Phone
- (918) 455-3902
- Fax
- (918) 449-9090
- NPI assigned
- Jul 28, 2005
- 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 | 9925 | OK | Primary |
Addresses
Primary practice location
3701 S Elm PL
Broken Arrow, OK 74011-1804
Mailing address
2312 W Fulton St
Broken Arrow, OK 74012-7429
Phone (918) 455-4769
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 |
|---|---|---|---|
| 9925 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619977071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 W FULTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127429",
"telephone_number": "918-455-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 S ELM PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740111804",
"telephone_number": "918-455-3902",
"fax_number": "918-449-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "EUGENE",
"middle_name": "NMN",
"credential": "PHARM.D., D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "9925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.