Timothy Marcus Egbuka, PHARMD, BCACP, BCCP

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH-0014771 Issued in OR

Practice address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Phone

(210) 916-3000

NPI assigned

Feb 14, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1295235588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 INTERSTATE 35N FRONTAGE RD",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541467",
            "telephone_number": "210-916-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUKA",
        "first_name": "TIMOTHY",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCACP, BCCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0014771",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "2016021938",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MO",
            "license": "2016021938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ebner, OTR
• Erin Paul Edgar, M.D.
• David Ediger, MD
• Alyssa Edwards Davidson, NRP
• Bryant S Edwards, D.O.
• Desirae Lynnae Ehley
• Katherine A Ehrig, EFDA
• Corey Eichelberger, CRNA
• Justin Paul Eigen, DO
• Steven L. Eikenberg, DDS

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.