Active NPI
Doyle Douglas Eakman, R.PH.
- Pharmacist
- San Angelo, TX
National Provider Identifier
1750384608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20554
- Practice address
- 2102 Pecos St
Ste 4
San Angelo, TX 76901-3061 - Phone
- (325) 949-4636
- Fax
- (325) 942-0761
- NPI assigned
- May 24, 2005
- 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 | 20554 | TX | Primary |
Addresses
Primary practice location
2102 Pecos St
Ste 4
San Angelo, TX 76901-3061
Mailing address
2102 Pecos St
Ste 4
San Angelo, TX 76901-3061
Phone (325) 949-4636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20554 | Other | TX | STATE BOARD LICENSE NUM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20554 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1750384608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 PECOS ST",
"address_2": "STE 4",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769013061",
"telephone_number": "325-949-4636",
"fax_number": "325-942-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 PECOS ST",
"address_2": "STE 4",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769013061",
"telephone_number": "325-949-4636",
"fax_number": "325-942-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAKMAN",
"first_name": "DOYLE",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "20554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD LICENSE NUM",
"identifier": "20554",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.