Active NPI
Raphael Ike
- Pharmacist
- Baytown, TX
National Provider Identifier
1386089498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51297
- Practice address
- 4510 Garth Rd
Baytown, TX 77521-2124 - Phone
- (281) 691-6823
- NPI assigned
- May 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 51297 | TX | Primary |
Addresses
Primary practice location
4510 Garth Rd
Baytown, TX 77521-2124
Mailing address
7807 Bowens Crossing St
San Antonio, TX 78250-2971
Phone (210) 374-0915
Other names 1
- Raphael Ogbugbulu
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 |
|---|---|---|---|
| 51297 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1386089498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7807 BOWENS CROSSING ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782502971",
"telephone_number": "210-374-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 GARTH RD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775212124",
"telephone_number": "281-691-6823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKE",
"first_name": "RAPHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-02",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAPHAEL",
"last_name": "OGBUGBULU",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.