Active NPI
David Etin Osa Uwubanmwen
- Pharmacist
- Plano, TX
National Provider Identifier
1508461666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042929
- Practice address
- 6401 W Parker Rd
Plano, TX 75093-7919 - Phone
- (972) 403-8128
- Fax
- (972) 403-7643
- NPI assigned
- Dec 4, 2020
- Last updated
- Dec 4, 2020
- 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 | 042929 | TX | Primary |
Addresses
Primary practice location
6401 W Parker Rd
Plano, TX 75093-7919
Mailing address
6401 W Parker Rd
Plano, TX 75093-7919
Phone (972) 403-8128
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 |
|---|---|---|---|
| 042929 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1508461666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 W PARKER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750937919",
"telephone_number": "972-403-8128",
"fax_number": "972-403-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 W PARKER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750937919",
"telephone_number": "972-403-8128",
"fax_number": "972-403-7643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UWUBANMWEN",
"first_name": "DAVID",
"middle_name": "ETIN OSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "042929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Kyle Andrew Utne, MA, ATC, PTA
- Cynthia Ifunanyachukwu Uzoukwu, DDS
- V Eye P Plano P.a (V Eye P Eyecare & Eyewear)
- Thara Vadakedom, PHARM D
- Sudha Vadlamani, MOTR
- Vagisha Sharma,MD,PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.