Active NPI
Araba Afenyiwa Odum, PHARMD
- Pharmacist
- Irving, TX
National Provider Identifier
1487265096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65994
- Practice address
- 555 Promenade Pkwy
Irving, TX 75039-1263 - Phone
- (571) 292-6723
- NPI assigned
- Aug 17, 2020
- Last updated
- Aug 17, 2020
- Sex
- Female
- 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 | 65994 | TX | Primary |
Addresses
Primary practice location
555 Promenade Pkwy
Irving, TX 75039-1263
Mailing address
555 Promenade Pkwy
Irving, TX 75039-1263
Phone (571) 292-6723
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 |
|---|---|---|---|
| 65994 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1487265096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 PROMENADE PKWY",
"city": "IRVING",
"state": "TX",
"postal_code": "750391263",
"telephone_number": "571-292-6723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 PROMENADE PKWY",
"city": "IRVING",
"state": "TX",
"postal_code": "750391263",
"telephone_number": "571-292-6723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUM",
"first_name": "ARABA",
"middle_name": "AFENYIWA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
- Dinah A Obere, FNP-BC
- Occupational Health Centers of the Southwest PA (Concentra Medical Center)
- Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
- Oceanic Home Health Agency, Inc (Oceanic Home Health Agency)
- Karin Ochsner, RDN
- Elisa Nicole Odunukwe, FNP
- Isaac Oduroh, PT, DPT
- Odyssey Anesthesia PA
- Ho Bing Patrick Oei, MD
- Michelle Ogbeide, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.