Active NPI
Kelechi D. Ezekwem, PHARMD
- Pharmacist
- La Porte, TX
National Provider Identifier
1356928055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68002
- Practice address
- 1102 S Broadway St
La Porte, TX 77571-5302 - Phone
- (281) 471-7282
- Fax
- (281) 471-1361
- NPI assigned
- Mar 27, 2021
- 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 | 68002 | TX | Primary |
Addresses
Primary practice location
1102 S Broadway St
La Porte, TX 77571-5302
Mailing address
2001 S Voss Rd Apt 323
Houston, TX 77057-2646
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Health RX Scripts LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1619392016
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- La Porte, TX
- NPI 1801801808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1356928055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S VOSS RD APT 323",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770572646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 S BROADWAY ST",
"city": "LA PORTE",
"state": "TX",
"postal_code": "775715302",
"telephone_number": "281-471-7282",
"fax_number": "281-471-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZEKWEM",
"first_name": "KELECHI",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-27",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Porte, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.