Active NPI
Sabrina Edgeman, PHARMD
- Pharmacist
- Durant, OK
National Provider Identifier
1831674282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13395
- Practice address
- 311 N Washington Ave
Durant, OK 74701 - Phone
- (580) 924-3784
- NPI assigned
- Oct 2, 2018
- Sex
- Female
- 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 | 13395 | OK | Primary |
Addresses
Primary practice location
311 N Washington Ave
Durant, OK 74701
Mailing address
311 N Washington Ave
Durant, OK 74701-3641
Phone (580) 924-3784
Other practice location 1
3712 W Main St
Durant, OK 74701-4529
Phone (580) 924-5112
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13395 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgeman Health LLC | Current | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Locations
311 N Washington Ave
Durant, OK 74701
Phone (580) 924-3784
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Durant, OK
- NPI 1528143815
-
- Community/Retail Pharmacy
- Durant, OK
- NPI 1417974544
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1831674282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N WASHINGTON AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747013641",
"telephone_number": "580-924-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N WASHINGTON AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "74701",
"telephone_number": "580-924-3784"
}
],
"practiceLocations": [
{
"address_1": "3712 W Main St",
"address_purpose": "LOCATION",
"city": "Durant",
"state": "OK",
"postal_code": "747014529",
"country_code": "US",
"telephone_number": "580-924-5112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDGEMAN",
"first_name": "SABRINA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13395",
"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 Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.