Individual provider Active NPI

Jimmara Anyino Alozie, RPH

  • Pharmacist
  • Azle, TX
National Provider Identifier
1114723954
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
72253 Issued in TX
Practice address
721 Boyd Rd
Azle, TX 76020-4811
Phone
(817) 270-5838
Fax
(817) 270-5870
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 72253 TX Primary

Addresses

Primary practice location

721 Boyd Rd
Azle, TX 76020-4811

Mailing address

1001 Creekhaven LN
Mansfield, TX 76063-4728
Phone (813) 580-2415

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
72253TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1114723954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CREEKHAVEN LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634728",
            "telephone_number": "813-580-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BOYD RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760204811",
            "telephone_number": "817-270-5838",
            "fax_number": "817-270-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALOZIE",
        "first_name": "JIMMARA",
        "middle_name": "ANYINO",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "72253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.