NPIMap

Individual provider Active NPI

Kenan Leroy Denten, DOCTOR OF PHARMACY

  • Pharmacist
  • Boise City, OK
National Provider Identifier
1821718859
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17563 Issued in OK
Practice address
318 W Main St
Boise City, OK 73933-9607
Phone
(580) 544-3441
Fax
(405) 767-0905
NPI assigned
Aug 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17563 OK Primary

Addresses

Primary practice location

318 W Main St
Boise City, OK 73933-9607

Mailing address

PO Box 97
Boise City, OK 73933-0097
Phone (580) 544-3441

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

LicenseStateTypeSpecialty
17563OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hooker Pharmacy PLLC CurrentSince Sep 4, 2022 Accepting new patients

Organizations & group practices 1

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1821718859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "739330097",
            "telephone_number": "580-544-3441",
            "fax_number": "405-767-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W MAIN ST",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "739339607",
            "telephone_number": "580-544-3441",
            "fax_number": "405-767-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTEN",
        "first_name": "KENAN",
        "middle_name": "LEROY",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "17563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.