Active NPI
Chisom Ekwonnah
- Pharmacist
- Midland, TX
National Provider Identifier
1508318122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56264
- Practice address
- 4517 N Midland Dr
Midland, TX 79707-3325 - Phone
- (432) 697-2299
- NPI assigned
- Oct 31, 2016
- Sex
- Male
- 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 | 56264 | TX | Primary |
Addresses
Primary practice location
4517 N Midland Dr
Midland, TX 79707-3325
Mailing address
5850 Gulfton St
1862
Houston, TX 77081-2597
Phone (832) 466-8406
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 |
|---|---|---|---|
| 56264 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1508318122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 GULFTON ST",
"address_2": "1862",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770812597",
"telephone_number": "832-466-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4517 N MIDLAND DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797073325",
"telephone_number": "432-697-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKWONNAH",
"first_name": "CHISOM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-31",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "56264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.