Active NPI
Peter Fokam
- Pharmacist
- Katy, TX
National Provider Identifier
1235689159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39882
- Practice address
- 25108 Market Place Dr
Katy, TX 77494-4430 - Phone
- (281) 644-6412
- NPI assigned
- Oct 4, 2016
- 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 | 39882 | TX | Primary |
Addresses
Primary practice location
25108 Market Place Dr
Katy, TX 77494-4430
Mailing address
301 S 9TH St
Richmond, TX 77469-3448
Phone (832) 363-1139
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 |
|---|---|---|---|
| 39882 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mbepe Health LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Richmond, TX
- NPI 1154921864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1235689159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S 9TH ST",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774693448",
"telephone_number": "832-363-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25108 MARKET PLACE DR",
"city": "KATY",
"state": "TX",
"postal_code": "774944430",
"telephone_number": "281-644-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOKAM",
"first_name": "PETER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-04",
"last_updated": "2020-11-07",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.