Individual provider Active NPI

Carolyn Ugochi Ibe, R.N., R.PH.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • North Richland Hills, TX
National Provider Identifier
1316334030
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
28589 Issued in TX
Practice address
8441 Parkdale Dr
North Richland Hills, TX 76182-8441
Phone
(817) 808-3380
Fax
(817) 498-8928
NPI assigned
Apr 21, 2015
Last updated
Apr 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 28589 TX Primary

Addresses

Primary practice location

8441 Parkdale Dr
North Richland Hills, TX 76182-8441

Mailing address

8441 Parkdale Dr
North Richland Hills, TX 76182-8441
Phone (817) 808-3380

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
Credentials
Registered Pharmacist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28589TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1316334030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 PARKDALE DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828441",
            "telephone_number": "817-808-3380",
            "fax_number": "817-498-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 PARKDALE DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828441",
            "telephone_number": "817-808-3380",
            "fax_number": "817-498-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBE",
        "first_name": "CAROLYN",
        "middle_name": "UGOCHI",
        "credential": "R.N., R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "28589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.