Active NPI
Ezekiel M Onyebueke
- Pharmacist
- Tampa, FL
National Provider Identifier
1205461605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31773
- Practice address
- 3405 S Dale Mabry Hwy
Tampa, FL 33629-8601 - Phone
- (813) 839-2193
- Fax
- (813) 839-2196
- NPI assigned
- Mar 5, 2020
- 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 | 31773 | FL | Primary |
Addresses
Primary practice location
3405 S Dale Mabry Hwy
Tampa, FL 33629-8601
Mailing address
13845 Fairway Bunker Dr
Tampa, FL 33626-2204
Phone (813) 380-2300
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 |
|---|---|---|---|
| 31773 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1205461605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13845 FAIRWAY BUNKER DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262204",
"telephone_number": "813-380-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 S DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336298601",
"telephone_number": "813-839-2193",
"fax_number": "813-839-2196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYEBUEKE",
"first_name": "EZEKIEL",
"middle_name": "M",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "31773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.