Active NPI
Ekwere Johnson Ekpo
- Pharmacist
- Arlington, TX
National Provider Identifier
1417568254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53320
- Practice address
- 1800 Brown Blvd
Arlington, TX 76006-4602 - Phone
- (770) 519-3604
- Fax
- (817) 459-2880
- NPI assigned
- Aug 14, 2020
- 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 | 53320 | TX | Primary |
Addresses
Primary practice location
1800 Brown Blvd
Arlington, TX 76006-4602
Mailing address
6462 Riviera Dr
Irving, TX 75039-4160
Phone (770) 519-3604
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 |
|---|---|---|---|
| 53320 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | 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": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1417568254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6462 RIVIERA DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750394160",
"telephone_number": "770-519-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BROWN BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760064602",
"telephone_number": "770-519-3604",
"fax_number": "817-459-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKPO",
"first_name": "EKWERE",
"middle_name": "JOHNSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-14",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.