Active NPI
Victor Chike Obuekwe
- Pharmacist
- Crowley, TX
National Provider Identifier
1508467275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30650
- Practice address
- 1221 FM 1187 E
Crowley, TX 76036-4370 - Phone
- (682) 233-7841
- NPI assigned
- Nov 7, 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 | 30650 | TX | Primary |
Addresses
Primary practice location
1221 FM 1187 E
Crowley, TX 76036-4370
Mailing address
5504 Marigold CT
Arlington, TX 76017-4983
Phone (817) 478-7722
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 |
|---|---|---|---|
| 30650 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1508467275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 MARIGOLD CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760174983",
"telephone_number": "817-478-7722",
"fax_number": "817-478-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 FM 1187 E",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760364370",
"telephone_number": "682-233-7841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBUEKWE",
"first_name": "VICTOR",
"middle_name": "CHIKE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-07",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "30650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crowley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.