Individual provider Active NPI

Edikan Nkan, RPH

  • Pharmacist
  • Plantation, FL
National Provider Identifier
1700435674
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59881 Issued in FL
Practice address
1800 N Nob Hill Rd
Plantation, FL 33322-6565
Phone
(954) 916-9713
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS59881 FL Primary

Addresses

Primary practice location

1800 N Nob Hill Rd
Plantation, FL 33322-6565

Mailing address

5850 NW 17TH PL Apt 120
Sunrise, FL 33313-6953
Phone (754) 214-1646

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS59881FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Sep 8, 2019 Accepting new patients
Walgreen Co PastSince Sep 8, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edikan.nkan.p1@direct.careresource.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1700435674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 NW 17TH PL APT 120",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136953",
            "telephone_number": "754-214-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N NOB HILL RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226565",
            "telephone_number": "954-916-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKAN",
        "first_name": "EDIKAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.