Individual provider Active NPI

Chukwuemeka Ogbu, RPH

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1487279691
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
61680 Issued in TX
Practice address
21920 Bulverde Rd # 102-103
San Antonio, TX 78259-2181
Phone
(210) 503-5063
NPI assigned
Jun 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61680 TX Primary

Addresses

Primary practice location

21920 Bulverde Rd # 102-103
San Antonio, TX 78259-2181

Mailing address

21803 W Interstate 10 Ste 105
San Antonio, TX 78257-1815
Phone (210) 886-8013

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

LicenseStateTypeSpecialty
61680TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosemond Global Ventures LLC CurrentSince May 16, 2022 Accepting new patients
Zikam Neighborhood Pharmacy LLC PastSince Jun 14, 2020 Accepting new patients

Locations

21803 W Interstate 10
Ste 105
San Antonio, TX 78257
Phone (210) 886-8013

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.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1487279691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21803 W INTERSTATE 10 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571815",
            "telephone_number": "210-886-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21920 BULVERDE RD # 102-103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592181",
            "telephone_number": "210-503-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBU",
        "first_name": "CHUKWUEMEKA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "61680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.