Individual provider Active NPI

Wisdom Chukwudi Onyegbule, PHARMD

  • Pharmacist
  • Houston, TX
National Provider Identifier
1376122291
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62614 Issued in TX
Practice address
3939 Hillcroft St Ste 120
Houston, TX 77057-7733
Phone
(713) 465-8100
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62614 TX Primary

Addresses

Primary practice location

3939 Hillcroft St Ste 120
Houston, TX 77057-7733

Mailing address

7035 Hobby Wind Ridge Dr
Houston, TX 77075-1430
Phone (217) 255-3992

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

State licenses

LicenseStateTypeSpecialty
62614TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Medalways Pharmacy Inc PastSince Apr 11, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1376122291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 HOBBY WIND RIDGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770751430",
            "telephone_number": "217-255-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HILLCROFT ST STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577733",
            "telephone_number": "713-465-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEGBULE",
        "first_name": "WISDOM",
        "middle_name": "CHUKWUDI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.