Prince Egesi, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

45659 Issued in TX

Practice address

12312 Will Clayton Pkwy
Humble, TX 77346-3889

Phone

(281) 318-2107

Fax

(281) 318-2104

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00154

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Humble Dermatology PLLC

  • Dermatology Physician
  • Humble, TX
  • NPI 1679064968
  NPD Authorized official
• Wal-Mart Stores Texas LLC

  dba Walmart Pharmacy 10-7309

  • Community/Retail Pharmacy
  • Humble, TX
  • NPI 1043613847
  NPD (past)
• Wal-Mart Stores Texas, LLC

  dba Walmart Pharmacy 10-1484

  • Community/Retail Pharmacy
  • Melissa, TX
  • NPI 1386521797
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1447856406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 N MEMORIAL DR STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384216",
            "telephone_number": "281-707-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12312 WILL CLAYTON PKWY",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463889",
            "telephone_number": "281-318-2107",
            "fax_number": "281-318-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGESI",
        "first_name": "PRINCE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "45659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Marie Edwards, LVN
• Effective Choice Medical Supplies, LLC
• Effective Communication LLC
• Justin Burton Egerton, PTA
• Adaeze Egesi, M.D.
• Shaker Maurice Eid, MD
• Sarah Katherine Eismann
• Hamdalat M Ekemode, LPC-A
• Sundae Curtese Eldridge
• Electpoint Consult LLC

• Pharmacist in Humble, TX
• Providers in Humble, TX by specialty
• Pharmacist in Texas

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

Verify at the official NPI Registry.