Active NPI
Emade E Ekwelle, PHARMD
- Registered Nurse
- Odessa, TX
National Provider Identifier
1205293297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R077643
- Practice address
- 9307 Agave Ave
Odessa, TX 79765-2223 - Phone
- (013) 184-0245
- Fax
- (281) 592-0459
- NPI assigned
- Jan 21, 2016
- Last updated
- May 31, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R077643 | AR | Primary |
| Pharmacist | 183500000X | 54187 | TX |
Addresses
Primary practice location
9307 Agave Ave
Odessa, TX 79765-2223
Mailing address
1001 Rushwood Dr
Lufkin, TX 75904-5542
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 |
|---|---|---|---|
| 54187 | TX | MD | Mental Health Counselor |
| R077643 | AR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1205293297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 RUSHWOOD DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759045542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9307 AGAVE AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797652223",
"telephone_number": "013-184-0245",
"fax_number": "281-592-0459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKWELLE",
"first_name": "EMADE",
"middle_name": "E",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R077643",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "54187",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
- Educare Community Living Corporation - Texas (All Ways Caring HomeCare)
- Edwards and Gonzlez DDS PLLC (Big Smiles Ranch)
- Joel Trimble Edwards, DDS
- Eileen Li MD PA
- Amarachi Eke-Okoro
- Gary Wayne Elam, M.D.
- Alaa Eldin A Eldemerdash, MD
- Elite Ivf & Fertility Solutions
- Byron D. Elliott, M.D.
- Lauryn Elliott, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.