Individual provider Active NPI

Chukwudiebere Keke

  • Pharmacist
  • Cypress, TX
National Provider Identifier
1356056535
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52447 Issued in TX
Practice address
22125 Cumberland Ridge Dr
Cypress, TX 77433-6494
Phone
(281) 758-1031
NPI assigned
Jan 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52447 TX Primary

Addresses

Primary practice location

22125 Cumberland Ridge Dr
Cypress, TX 77433-6494

Mailing address

6214 Allendale Ridge TRL
Richmond, TX 77407-1048
Phone (713) 922-4351

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

LicenseStateTypeSpecialty
52447TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1356056535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 ALLENDALE RIDGE TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071048",
            "telephone_number": "713-922-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22125 CUMBERLAND RIDGE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336494",
            "telephone_number": "281-758-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEKE",
        "first_name": "CHUKWUDIEBERE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.