Active NPI
Sunday Ntiejumokwu, PHAMD
- Pharmacist
- McAllen, TX
National Provider Identifier
1285956540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42701
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 42701 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KCCL LLC | Current | Accepting new patients | |
| Walgreen Co | Past | 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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mission, TX
- NPI 1720739485
-
- Pharmacy
- McAllen, TX
- NPI 1538174545
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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.