Active NPI
Jonathan O Nomamiukor, R.PH
- Pharmacist
- Laredo, TX
National Provider Identifier
1124209648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29790
- Practice address
- 1700 E Saunders St
Laredo, TX 78041-5474 - Phone
- (956) 796-2515
- Fax
- (956) 796-2517
- NPI assigned
- Nov 27, 2007
- 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 | 29790 | TX | Primary |
Addresses
Primary practice location
1700 E Saunders St
Laredo, TX 78041-5474
Mailing address
2104 Post Wood LN
Arlington, TX 76018-3138
Phone (817) 467-5004
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29790 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1124209648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 POST WOOD LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760183138",
"telephone_number": "817-467-5004",
"fax_number": "956-796-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E SAUNDERS ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415474",
"telephone_number": "956-796-2515",
"fax_number": "956-796-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOMAMIUKOR",
"first_name": "JONATHAN",
"middle_name": "O",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "29790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.