Active NPI
Funmilayo Bosede Omigie
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1346577152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46957
- Practice address
- 6048 S Hulen St
Fort Worth, TX 76132-2604 - Phone
- (817) 423-5326
- NPI assigned
- Nov 16, 2009
- Last updated
- Nov 16, 2009
- Sex
- Female
- 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 | 46957 | TX | Primary |
Addresses
Primary practice location
6048 S Hulen St
Fort Worth, TX 76132-2604
Mailing address
203 Mentor Dr
Arlington, TX 76002-5435
Phone (817) 472-7151
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 |
|---|---|---|---|
| 46957 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1346577152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 MENTOR DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760025435",
"telephone_number": "817-472-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6048 S HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761322604",
"telephone_number": "817-423-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMIGIE",
"first_name": "FUNMILAYO",
"middle_name": "BOSEDE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-16",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "46957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Sana Omair, MD
- Omar a. Gomez, M.D.,P.a. (Kid Care Pediatrics)
- Omar F Selod DO PA
- Kathryn M Omarkhail, MSSW, LCSW
- Monica L Omey, M.D.
- Omnicare Associates, Inc. (Elara Caring)
- Omnicare Pharmacy of Texas No 1 LP (Omnicare of Ft. Worth)
- Francis Tunde Omoniyi, PMHNP-BC
- Temitope Omoniyi, PHARMACIST
- Osayomwanbo Omorodion, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.