Reginald Cheta Udemgba

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53203 Issued in TX

Practice address

4412 North Fwy
Houston, TX 77022-3606

Phone

(703) 300-0518

Fax

(713) 300-0512

NPI assigned

Nov 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1346842770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 ALEXIS CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141878",
            "telephone_number": "601-897-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 NORTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223606",
            "telephone_number": "703-300-0518",
            "fax_number": "713-300-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEMGBA",
        "first_name": "REGINALD",
        "middle_name": "CHETA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "53203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinwe Vivian Udeh, DNP, ACNPC-AG
• Edwin Udeh
• John Emeka Udeh
• Brittney Udell
• Celestina Ebele Udemgba, DNP
• Jewel Nneka Udenwagu, MD
• Alice Ita Udeobong
• Jennifer Erinma Udeogu, MD
• Krystle Ego Udezue, DDS
• Uchenna Udobi, MS, CCC-SLP

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.