Active NPI
Michael H Edge
- Pharmacist
- Enid, OK
National Provider Identifier
1740562867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8866
- Practice address
- 929 West Owen K. Garriott Rd.
Enid, OK 73703-5312 - Phone
- (580) 237-3151
- NPI assigned
- Sep 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 8866 | OK | Primary |
Addresses
Primary practice location
929 West Owen K. Garriott Rd.
Enid, OK 73703-5312
Mailing address
1004 Teal Ridge LN
P.O. Box 784
Kingfisher, OK 73750-3840
Phone (405) 375-6825
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1740562867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 TEAL RIDGE LN",
"address_2": "P.O. BOX 784",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "737503840",
"telephone_number": "405-375-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 WEST OWEN K. GARRIOTT RD.",
"city": "ENID",
"state": "OK",
"postal_code": "737035312",
"telephone_number": "580-237-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGE",
"first_name": "MICHAEL",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.