Individual provider Active NPI

Sunday Ntiejumokwu, PHAMD

  • Pharmacist
  • McAllen, TX
National Provider Identifier
1285956540
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42701 Issued in TX
Practice address
2300 Pecan Blvd
McAllen, TX 78501-7332
Phone
(956) 686-7486
Fax
(956) 686-5401
NPI assigned
Feb 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42701 TX Primary

Addresses

Primary practice location

2300 Pecan Blvd
McAllen, TX 78501-7332

Mailing address

2300 Pecan Blvd
McAllen, TX 78501-7332
Phone (956) 686-7486

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

LicenseStateTypeSpecialty
42701TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KCCL LLC Current Accepting new patients
Walgreen Co PastSince Nov 24, 2025 Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1285956540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PECAN BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785017332",
            "telephone_number": "956-686-7486",
            "fax_number": "956-686-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PECAN BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785017332",
            "telephone_number": "956-686-7486",
            "fax_number": "956-686-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTIEJUMOKWU",
        "first_name": "SUNDAY",
        "name_prefix": "Dr.",
        "credential": "PHAMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "42701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.