Active NPI
Nyakeh Konneh, PHARMD
- Pharmacist
- Clarksville, TN
National Provider Identifier
1659724540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40165
- Practice address
- 1128 Fort Campbell Blvd
Clarksville, TN 37042-6450 - Phone
- (931) 905-0400
- NPI assigned
- Jul 15, 2016
- 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 | 40165 | TN | Primary |
Addresses
Primary practice location
1128 Fort Campbell Blvd
Clarksville, TN 37042-6450
Mailing address
935B Glendale LN
Nashville, TN 37204-4258
Phone (404) 644-9429
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 |
|---|---|---|---|
| 40165 | TN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1659724540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935B GLENDALE LN",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372044258",
"telephone_number": "404-644-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 FORT CAMPBELL BLVD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370426450",
"telephone_number": "931-905-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONNEH",
"first_name": "NYAKEH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-15",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "40165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.