Active NPI
Tekle Ferede Habtea
- Pharmacist
- Durant, OK
National Provider Identifier
1750250882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21129
- Practice address
- 302 University PL
Durant, OK 74701-7110 - Phone
- (580) 920-1145
- NPI assigned
- Nov 5, 2025
- Last updated
- Nov 5, 2025
- 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 | 21129 | OK | Primary |
Addresses
Primary practice location
302 University PL
Durant, OK 74701-7110
Mailing address
615 Haven Dr
Anna, TX 75409-0139
Phone (469) 703-5898
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21129 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
302 University Pl
Durant, OK 74701
Phone (580) 920-1145
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1750250882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 HAVEN DR",
"city": "ANNA",
"state": "TX",
"postal_code": "754090139",
"telephone_number": "469-703-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 UNIVERSITY PL",
"city": "DURANT",
"state": "OK",
"postal_code": "747017110",
"telephone_number": "580-920-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABTEA",
"first_name": "TEKLE",
"middle_name": "FEREDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "21129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.