Individual provider Active NPI

Lawrence Metuge Ekaney, PD

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1962716209
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51362 Issued in TX
Practice address
17826 Davenport Rd Ste B
Dallas, TX 75252-5876
Phone
(972) 467-0173
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 51362 TX Primary

Addresses

Primary practice location

17826 Davenport Rd Ste B
Dallas, TX 75252-5876

Mailing address

17826 Davenport Rd Ste B
Dallas, TX 75252-5876
Phone (469) 351-3462

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
51362TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aa Pharmacy LLC PastSince Sep 27, 2020 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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1962716209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17826 DAVENPORT RD STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525876",
            "telephone_number": "469-351-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17826 DAVENPORT RD STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525876",
            "telephone_number": "972-467-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKANEY",
        "first_name": "LAWRENCE",
        "middle_name": "METUGE",
        "credential": "PD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.