Active NPI
Eunice Ulumma Metu
- Pharmacist
- Conroe, TX
National Provider Identifier
1033711924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61485
- Practice address
- 1407 N Loop 336 W
Conroe, TX 77304-3503 - Phone
- (936) 760-2112
- Fax
- (936) 760-2971
- NPI assigned
- Nov 15, 2020
- Sex
- Female
- 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 | 61485 | TX | Primary |
Addresses
Primary practice location
1407 N Loop 336 W
Conroe, TX 77304-3503
Mailing address
1407 N Loop 336 W
Conroe, TX 77304-3503
Phone (936) 760-2112
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 |
|---|---|---|---|
| 61485 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605398400000",
"number": "1033711924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 N LOOP 336 W",
"city": "CONROE",
"state": "TX",
"postal_code": "773043503",
"telephone_number": "936-760-2112",
"fax_number": "936-760-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 N LOOP 336 W",
"city": "CONROE",
"state": "TX",
"postal_code": "773043503",
"telephone_number": "936-760-2112",
"fax_number": "936-760-2971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METU",
"first_name": "EUNICE",
"middle_name": "ULUMMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-15",
"last_updated": "2020-11-15",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "61485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.