Individual provider Active NPI

Sampson Nnadi Ogbuchi-Santana Jr., PHARM D

  • Pharmacist
  • Fort Worth, TX
National Provider Identifier
1194152835
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52810 Issued in TX
Practice address
6205 Westcreek Dr
Fort Worth, TX 76133-4319
Phone
(817) 263-0962
NPI assigned
Sep 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52810 TX Primary
Pharmacist 183500000X 020069 LA

Addresses

Primary practice location

6205 Westcreek Dr
Fort Worth, TX 76133-4319

Mailing address

5512 Greenwood Creek Dr Apt 428
Benbrook, TX 76109-3992
Phone (504) 729-7075

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

LicenseStateTypeSpecialty
020069LAMDPharmacist
52810TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1194152835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 GREENWOOD CREEK DR APT 428",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093992",
            "telephone_number": "504-729-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 WESTCREEK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761334319",
            "telephone_number": "817-263-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBUCHI-SANTANA",
        "first_name": "SAMPSON",
        "middle_name": "NNADI",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52810",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "020069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.