Active NPI
Chinomso Ogbonna, Richard Ogbonna
- Pharmacist
- Austin, TX
National Provider Identifier
1023681236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68507
- Practice address
- 6721 S Congress Ave
Austin, TX 78745-5744 - Phone
- (512) 707-8245
- NPI assigned
- Jul 24, 2021
- Last updated
- Jul 24, 2021
- 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 | 68507 | TX | Primary |
Addresses
Primary practice location
6721 S Congress Ave
Austin, TX 78745-5744
Mailing address
824 Camino la Costa
Austin, TX 78752-3865
Phone (469) 288-7849
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 |
|---|---|---|---|
| 68507 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627084800000",
"number": "1023681236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 CAMINO LA COSTA",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523865",
"telephone_number": "469-288-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6721 S CONGRESS AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455744",
"telephone_number": "512-707-8245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBONNA",
"first_name": "CHINOMSO",
"middle_name": "OGBONNA, RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-24",
"last_updated": "2021-07-24",
"certification_date": "2021-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.