Active NPI
Charles Udo Nnamdi Dike, BPHARM
- Pharmacist
- Paris, TX
National Provider Identifier
1376892935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34336
- Practice address
- 3606 Lamar Avenue
Paris, TX 75462 - Phone
- (903) 785-5380
- Fax
- (903) 785-5846
- NPI assigned
- Aug 29, 2012
- 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 | 34336 | TX | Primary |
Addresses
Primary practice location
3606 Lamar Avenue
Paris, TX 75462
Mailing address
977 Shaddock Park Lane
Allen, TX 75013
Phone (972) 908-2270
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 |
|---|---|---|---|
| 34336 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1376892935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 SHADDOCK PARK LANE",
"city": "ALLEN",
"state": "TX",
"postal_code": "75013",
"telephone_number": "972-908-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3606 LAMAR AVENUE",
"city": "PARIS",
"state": "TX",
"postal_code": "75462",
"telephone_number": "903-785-5380",
"fax_number": "903-785-5846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIKE",
"first_name": "CHARLES",
"middle_name": "UDO NNAMDI",
"name_prefix": "Mr.",
"credential": "BPHARM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "34336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.