Active NPI
Darrell G Ingmire, DPH
- Pharmacist
- Tulsa, OK
National Provider Identifier
1851673750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8950
- Practice address
- 4971 S Memorial Dr
Tulsa, OK 74145-6914 - Phone
- (918) 663-4578
- Fax
- (918) 663-2004
- NPI assigned
- Sep 15, 2011
- 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 | 8950 | OK | Primary |
Addresses
Primary practice location
4971 S Memorial Dr
Tulsa, OK 74145-6914
Mailing address
7314 S Fulton Ave
Tulsa, OK 74136-7107
Phone (918) 523-9282
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 |
|---|---|---|---|
| 8950 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1851673750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7314 S FULTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741367107",
"telephone_number": "918-523-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4971 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741456914",
"telephone_number": "918-663-4578",
"fax_number": "918-663-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGMIRE",
"first_name": "DARRELL",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.