Active NPI
Kouaba Marie Elodie Carmen Enoh
- Pharmacist
- Texarkana, TX
National Provider Identifier
1134097769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76564
- Practice address
- 1901 Richmond Rd
Texarkana, TX 75503-2424 - Phone
- (903) 255-0316
- NPI assigned
- Oct 27, 2025
- 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 | 76564 | TX | Primary |
Addresses
Primary practice location
1901 Richmond Rd
Texarkana, TX 75503-2424
Mailing address
1901 Richmond Rd
Texarkana, TX 75503-2424
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 |
|---|---|---|---|
| 76564 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | 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 and National Provider Directory roles.
-
- Pharmacy
- Texarkana, TX
- NPI 1124372636
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1134097769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 RICHMOND RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 RICHMOND RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032424",
"telephone_number": "903-255-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOH",
"first_name": "KOUABA",
"middle_name": "MARIE ELODIE CARMEN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-30",
"certification_date": "2025-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "76564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
- Emergency Associates of Texas, PA
- Encompass Health Rehabilitation Hospital of Texarkana, Inc.
- Marla Kay English-Pickett, GNP
- George William English III, M.D.
- Gary P Engstrom, MD
- Kelechi Victor Etoh, PHARMD, MPH
- Margaret E. Evans, P.T.
- Evergreen Presbyterian Ministries of Texas, Inc.
- Evergreen Presbyterian Ministries of Texas, Inc.
- Evergreen Presbyterian Ministries of Texas, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.