Individual provider Active NPI

Emmanuel Orusakwe

  • Pharmacist
  • Houston, TX
National Provider Identifier
1508458548
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32878 Issued in TX
Practice address
8300 Bissonnet St Ste 100
Houston, TX 77074-3911
Phone
(832) 623-7554
Fax
(832) 831-5693
NPI assigned
Feb 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32878 TX Primary

Addresses

Primary practice location

8300 Bissonnet St Ste 100
Houston, TX 77074-3911

Mailing address

8300 Bissonnet St Ste 100
Houston, TX 77074-3911
Phone (832) 623-7554

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

LicenseStateTypeSpecialty
32878TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Pharmacy & Medical Supplies, Inc. Current Accepting new patients

Organizations & group practices 1

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1508458548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BISSONNET ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743911",
            "telephone_number": "832-623-7554",
            "fax_number": "832-831-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BISSONNET ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743911",
            "telephone_number": "832-623-7554",
            "fax_number": "832-831-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORUSAKWE",
        "first_name": "EMMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "32878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.