Individual provider Active NPI

Roselyne Odhiambo, PHARM D

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1225755861
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62524 Issued in TX
Practice address
4750 Haverwood LN
Dallas, TX 75287-4229
Phone
(469) 988-9848
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62524 TX Primary

Addresses

Primary practice location

4750 Haverwood LN
Dallas, TX 75287-4229

Mailing address

4750 Haverwood LN
Dallas, TX 75287-4229
Phone (469) 988-9848

Other names 1

  • Rosalyn Claire Odhiambo Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roselynea@hotmail.com Direct

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
62524TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1225755861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HAVERWOOD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752874229",
            "telephone_number": "469-988-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 HAVERWOOD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752874229",
            "telephone_number": "469-988-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODHIAMBO",
        "first_name": "ROSELYNE",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roselynea@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "e mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e mail",
            "address_1": "4750 Haverwood Ln",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752874229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROSALYN",
            "last_name": "ODHIAMBO",
            "middle_name": "CLAIRE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.