Molayo Otubaga

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

814 Sheldon Rd
Channelview, TX 77530-3512

Phone

(281) 452-7184

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CVS Pharmacy Inc

  dba CVS Pharmacy # 06742

  • Pharmacy
  • Channelview, TX
  • NPI 1275637001
  NPD (past)
• CVS Pharmacy Inc

  dba CVS Pharmacy #17923

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1265254502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12475 WOOD FOREST DR APT 1404",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770136124",
            "telephone_number": "832-638-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SHELDON RD",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775303512",
            "telephone_number": "281-452-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTUBAGA",
        "first_name": "MOLAYO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald R Nino, MD
• Jennifer Norris, CNC, CPT, MASTER T.
• Vane Ocharo, FNP-C
• Obio Offong
• Bertram Okorocha
• Ambreya Jannea Ousley, LAT
• Loukisha Paige
• Paul J. Allencherril M.D., P.a.
• Diane Rodriguez Pequeno, L.V.N.
• Angel Perez Jr., MD

• Student in an Organized Health Care Education/Training Program in Channelview, TX
• Providers in Channelview, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.