Kingsley Okafor

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24330 Issued in TX

Legal business name

KINGSLEY OKAFOR

Doing business as

TRIDENT PHARMACY

Practice address

2307 4TH St
Ste 102
Rosenberg, TX 77471-5174

Phone

(281) 238-8440

Fax

(281) 238-8449

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Kingsley Okafor

Title

Owner Pic

Phone

(281) 238-8440

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TRIDENT PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1265568679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 4TH ST",
            "address_2": "STE 102",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715174",
            "telephone_number": "281-238-8440",
            "fax_number": "281-238-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 4TH ST",
            "address_2": "STE 102",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715174",
            "telephone_number": "281-238-8440",
            "fax_number": "281-238-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY OKAFOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_title_or_position": "OWNER PIC",
        "authorized_official_telephone_number": "281-238-8440"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4539106",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRIDENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Kristine Faith Kim, RBT
• Lisa Lu Kimmey-Walker, APRN, CPNP-PC
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• Katherine Susan Kin, D.D.S.
• Kristin Elaine King, L.P.C.
• KJRX Pharmacy LLC
• Daryl Keith Knox, MD
• Melissa Yee-Mei Kok, MD
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• Kripa Krishnan

• Community/Retail Pharmacy in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.