Alex Agyemang

Primary specialty

PharmacistTaxonomy code 183500000X

License

18687 Issued in OK

Practice address

6301 NW Quannah Parker TRL
Lawton, OK 73505-1326

Phone

(580) 510-0357

NPI assigned

Oct 30, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Lawton, OK
  • NPI 1467470153
  NPD
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1699375238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 CENTRAL FWY APT 1202",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763061388",
            "telephone_number": "817-449-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 NW QUANNAH PARKER TRL",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735051326",
            "telephone_number": "580-510-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEMANG",
        "first_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "65451",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "18687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a0a07ka.s05071@us.wal-mart.com",
            "affiliation": "Y",
            "endpointDescription": "WORK EMAIL",
            "affiliationName": "WAL-MART STORES EAST LP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6301 NW Quannah Parker Trl",
            "city": "Lawton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735051326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Agape' Comprehensive Health Service
• Suhas Damodar Agte, M D
• Eduardo Aguayo Jr., PHARMD
• Kinde E Aguilar, MD
• Birdena Denise Aguilera, RN
• Kristen Ahdosy
• Sharon Ahlborn
• Idorenyin Leslie Aiku, MD
• Ajay Bhargava MD Inc
• Julide Akman-Carmichael, MD

• Pharmacist in Lawton, OK
• Providers in Lawton, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.