Active NPI
Emanuel Bippus, PHARMD
- Pharmacist
- Odessa, TX
National Provider Identifier
1134554728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53472
- Practice address
- 1305 W University Blvd
Odessa, TX 79764-7121 - Phone
- (432) 580-0166
- NPI assigned
- Sep 13, 2013
- Sex
- Male
- 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 | 53472 | TX | Primary |
Addresses
Primary practice location
1305 W University Blvd
Odessa, TX 79764-7121
Mailing address
3600 W Loop 250 North
Apt 2103
Midland, TX 79707
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 |
|---|---|---|---|
| 53472 | TX | MD | Pharmacist |
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 and National Provider Directory roles.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- Odessa, TX
- NPI 1720093735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1134554728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 W LOOP 250 NORTH",
"address_2": "APT 2103",
"city": "MIDLAND",
"state": "TX",
"postal_code": "79707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W UNIVERSITY BLVD",
"city": "ODESSA",
"state": "TX",
"postal_code": "797647121",
"telephone_number": "432-580-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIPPUS",
"first_name": "EMANUEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.