Ayongwi A Tazuh, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

2019040564 Issued in MO

Practice address

810 S 37TH St
Bethany, MO 64424-2770

Phone

(660) 425-4410

NPI assigned

Nov 27, 2019

Last updated

Nov 27, 2019By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1932746781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6519 REEDER ST APT 203",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033457",
            "telephone_number": "913-602-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S 37TH ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242770",
            "telephone_number": "660-425-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAZUH",
        "first_name": "AYONGWI",
        "middle_name": "A",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019040564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Dale Staatz, O.D.
• Coy Stephens, DPT
• Madison Nicole Stephens, DPT
• Kimberly D Strain, CPT
• Kathy Sweat, RPH
• Terry E. Hall (Terry E Hall MD RHC)
• Terry E. Hall, M.D (North Missouri Family Health Center)
• Greg Irwin Terwilleger, OTR
• Della Tracy, PLSW
• Linda Vandivert

• Pharmacist in Bethany, MO
• Providers in Bethany, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.