Active NPI
Wilson Nyagassa Njinuwo, PHARM.D
- Pharmacist
- Haltom City, TX
National Provider Identifier
1407190945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50967
- Practice address
- 4520 Western Center Blvd
Haltom City, TX 76137-2635 - Phone
- (817) 514-8063
- NPI assigned
- Nov 21, 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 | 50967 | TX | Primary |
Addresses
Primary practice location
4520 Western Center Blvd
Haltom City, TX 76137-2635
Mailing address
4520 Western Center Blvd
Haltom City, TX 76137-2635
Phone (817) 514-8063
Other practice location 1
3033 S 14th St
Abilene, TX 79605-5144
Phone (325) 795-1440
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50967 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1407190945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 WESTERN CENTER BLVD",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761372635",
"telephone_number": "817-514-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 WESTERN CENTER BLVD",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761372635",
"telephone_number": "817-514-8063"
}
],
"practiceLocations": [
{
"address_1": "3033 S 14th St",
"address_purpose": "LOCATION",
"city": "Abilene",
"state": "TX",
"postal_code": "796055144",
"country_code": "US",
"telephone_number": "325-795-1440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NJINUWO",
"first_name": "WILSON",
"middle_name": "NYAGASSA",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-21",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "50967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haltom City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.