Todd Ernest Pendergraft, D.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

10995 Issued in OK

Practice address

3359 S Elm PL
Broken Arrow, OK 74012-7924

Phone

(918) 451-3784

Fax

(918) 451-2295

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1881618924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127924",
            "telephone_number": "918-451-3784",
            "fax_number": "918-451-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127924",
            "telephone_number": "918-451-3784",
            "fax_number": "918-451-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRAFT",
        "first_name": "TODD",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "credential": "D.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "10995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Payne, M.ED CCC-SLP
• William A Payne
• Peak Medical Oklahoma No. 3, Inc.
• Savanah Peek, LPCC
• Mary Peeples, APRN-CNP
• Madeline Anne Penner, PA-C
• Peyton Ann Kay Pennoyer
• Chance Ryan Perry, PTA
• Jessica Carolann Perry
• Robert Zachary Perry

• Pharmacist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Pharmacist in Oklahoma

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

Verify at the official NPI Registry.