Active NPI
Bo Sijuwade
- Pharmacist
- Irving, TX
National Provider Identifier
1508149196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49259
- Practice address
- 8113 Ridgepoint Dr
Suite 200
Irving, TX 75063-3197 - Phone
- (972) 556-1623
- NPI assigned
- Sep 21, 2011
- 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 | 49259 | TX | Primary |
Addresses
Primary practice location
8113 Ridgepoint Dr
Suite 200
Irving, TX 75063-3197
Mailing address
PO Box 381172
Duncanville, TX 75138-1172
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49259 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1508149196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381172",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751381172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8113 RIDGEPOINT DR",
"address_2": "SUITE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750633197",
"telephone_number": "972-556-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIJUWADE",
"first_name": "BO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.