Active NPI
Chisom Ejekam
- Pharmacist
- Houston, TX
National Provider Identifier
1245946730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63515
- Practice address
- 1200 Binz St Ste 1040
Houston, TX 77004-6926 - Phone
- (713) 520-2328
- NPI assigned
- Jan 27, 2023
- Last updated
- Jan 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63515 | TX | Primary |
Addresses
Primary practice location
1200 Binz St Ste 1040
Houston, TX 77004-6926
Mailing address
10718 Villa Lea LN
Houston, TX 77071-1510
Other practice location 1
1435 Westheimer Rd
Houston, TX 77006-2616
Phone (713) 391-8991
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 |
|---|---|---|---|
| 63515 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1245946730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10718 VILLA LEA LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770711510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BINZ ST STE 1040",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046926",
"telephone_number": "713-520-2328"
}
],
"practiceLocations": [
{
"address_1": "1435 Westheimer Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770062616",
"country_code": "US",
"telephone_number": "713-391-8991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EJEKAM",
"first_name": "CHISOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.