Active NPI
Pascal Nnamdi Ike, RPH
- Pharmacist
- Burleson, TX
National Provider Identifier
1457951253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35483
- Practice address
- 951 SW Wilshire Blvd
Burleson, TX 76028-5714 - Phone
- (817) 447-2307
- NPI assigned
- Oct 30, 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 | 35483 | TX | Primary |
Addresses
Primary practice location
951 SW Wilshire Blvd
Burleson, TX 76028-5714
Mailing address
2618 Vista Ridge Dr
Mansfield, TX 76063-5854
Phone (817) 919-7592
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35483 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1457951253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 VISTA RIDGE DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635854",
"telephone_number": "817-919-7592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 SW WILSHIRE BLVD",
"city": "BURLESON",
"state": "TX",
"postal_code": "760285714",
"telephone_number": "817-447-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKE",
"first_name": "PASCAL",
"middle_name": "NNAMDI",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "35483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
- Jordan Huntsberger
- Mohamed Ginawi Hussein, M.B.B.S., M.D.
- Judith Hynds, CPM, LM
- Ideal Dental Burleson PLLC
- Alloysius Igwebuike
- Ikids Orthodontics Burleson PLLC
- Ikids Pediatric Dentistry Burleson, PLLC
- Kara Elizabeth Illingworth, MSN, APRN, FNP-C
- Imhealth, LLC (4HealthFMC)
- Infinit Men's Health Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.