Onyeoma Joan Uyanwune

Individual provider Active NPI Pharmacist · Groves, TX

NPI 1477912673 · NPPES record last updated Feb 16, 2016

Key facts

NPI
1477912673
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
57573 (TX)
Practice address
4746 Twin City Hwy
Groves, TX 77619-3038
Phone
(409) 960-6394
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
57573TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past
since Mar 20, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 57573 TX Yes

Addresses

Primary practice location

4746 Twin City Hwy
Groves, TX 77619-3038

Mailing address

4746 Twin City Hwy
Groves, TX 77619-3038
Phone (409) 960-6394

Other providers in Groves, TX

All providers in Groves, TX · Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.