Active NPI
Dorothy Archibong, PHARM.D.
- Pharmacist
- San Antonio, TX
National Provider Identifier
1033447370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47690
- Practice address
- 8202 Culebra Rd
San Antonio, TX 78251-1686 - Phone
- (210) 543-8419
- NPI assigned
- Nov 25, 2009
- Last updated
- Nov 25, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 47690 | TX | Primary |
Addresses
Primary practice location
8202 Culebra Rd
San Antonio, TX 78251-1686
Mailing address
5202 Texana Dr Apt 514
San Antonio, TX 78249-3777
Phone (713) 320-0418
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47690 | TX | MD | Interventional Cardiology Physician |
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": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1033447370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5202 TEXANA DR APT 514",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493777",
"telephone_number": "713-320-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8202 CULEBRA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782511686",
"telephone_number": "210-543-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHIBONG",
"first_name": "DOROTHY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-25",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.