Active NPI
Emmanuel Iloanya
- Pharmacist
- Baytown, TX
National Provider Identifier
1336744937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52309
- Practice address
- 2001 Garth Rd
Baytown, TX 77520-2472 - Phone
- (281) 422-0525
- NPI assigned
- Dec 1, 2020
- 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 | 52309 | TX | Primary |
Addresses
Primary practice location
2001 Garth Rd
Baytown, TX 77520-2472
Mailing address
2001 Garth Rd
Baytown, TX 77520-2472
Phone (281) 422-0525
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 |
|---|---|---|---|
| 52309 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Health & Wellness LLC | Current | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric Residential Treatment Facility
- Baltimore, MD
- NPI 1033091426
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1336744937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 GARTH RD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775202472",
"telephone_number": "281-422-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 GARTH RD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775202472",
"telephone_number": "281-422-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILOANYA",
"first_name": "EMMANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "52309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.