Active NPI
Nnamdi Nnoli
- Pharmacist
- Austin, TX
National Provider Identifier
1275112948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52538
- Practice address
- 2121 W Parmer LN Ste 103C
Austin, TX 78727-4351 - Phone
- (512) 814-0720
- NPI assigned
- Apr 7, 2021
- Last updated
- Apr 7, 2021
- Sex
- Male
- 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 | 52538 | TX | Primary |
Addresses
Primary practice location
2121 W Parmer LN Ste 103C
Austin, TX 78727-4351
Mailing address
13838 The Lakes Blvd Apt 4204
Pflugerville, TX 78660-5645
Phone (832) 212-6736
Other practice location 1
3702 Ranch Road 620 S
Bee Cave, TX 78738-6304
Phone (512) 477-1261
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 |
|---|---|---|---|
| 52538 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medlogs Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1275112948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13838 THE LAKES BLVD APT 4204",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786605645",
"telephone_number": "832-212-6736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W PARMER LN STE 103C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787274351",
"telephone_number": "512-814-0720"
}
],
"practiceLocations": [
{
"address_1": "3702 Ranch Road 620 S",
"address_purpose": "LOCATION",
"city": "Bee Cave",
"state": "TX",
"postal_code": "787386304",
"country_code": "US",
"telephone_number": "512-477-1261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NNOLI",
"first_name": "NNAMDI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "52538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.