Organization Active NPI

S&M Health LLC

Doing business as North Park Pharmacy

  • Community/Retail Pharmacy
  • Odessa, TX
National Provider Identifier
1225614670
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
S&M HEALTH LLC
Doing business as
North Park Pharmacy
Practice address
980 E 87TH St Ste C
Odessa, TX 79765-1318
Phone
(432) 257-3732
Fax
(432) 257-3734
NPI assigned
Mar 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Makua Ogba, PHARMD
Title
Pharmacist
Phone
(713) 835-2312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

980 E 87TH St Ste C
Odessa, TX 79765-1318

Mailing address

980 E 87TH St Ste C
Odessa, TX 79765-1318
Phone (432) 257-3732

Other names 1

  • North Park Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210803001851 TX Part B Supplier - Pharmacy 2769886498 Practice locations: Odessa, TX

National Provider Directory

National Provider Directory
Tax ID family
North Park Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

980 E 87th St
Ste C
Odessa, TX 79765
Phone (432) 257-3732

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1225614670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 E 87TH ST STE C",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797651318",
            "telephone_number": "432-257-3732",
            "fax_number": "432-257-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E 87TH ST STE C",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797651318",
            "telephone_number": "432-257-3732",
            "fax_number": "432-257-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&M HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "OGBA",
        "authorized_official_first_name": "MAKUA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "713-835-2312",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.