Maya Doughan

Primary specialty

PharmacistTaxonomy code 183500000X

License

13666 Issued in OK

Practice address

9401 N Pennsylvania Ave
The Village, OK 73120-3914

Phone

(405) 751-3553

NPI assigned

Aug 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oklahoma CVS Pharmacy LLC

  • Pharmacy
  • Enid, OK
  • NPI 1407278260
  NPD (past)

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1790396380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 N PENNSYLVANIA AVE",
            "city": "THE VILLAGE",
            "state": "OK",
            "postal_code": "731203914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 N PENNSYLVANIA AVE",
            "city": "THE VILLAGE",
            "state": "OK",
            "postal_code": "731203914",
            "telephone_number": "405-751-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHAN",
        "first_name": "MAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Bragg II, L.H.I.S.
• Jeffrey Bragg Sr., L.H.I.S
• Benjamin Robert Burke, DPT
• Natalie Cleverdon, M.S., LMFT CANDIDATE
• Lashandra Renee' Craig
• Braxton Kash Douthit
• Jordan Edwards, LADC-US
• Corbin Fairweather
• Rachel Leigh Gilmore, LPC CANDIDATE
• Amanda Nicole Harris, M.A. CCC-SLP

• Pharmacist in The Village, OK
• Providers in The Village, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.