CNC Pharmacy Compounding

Primary specialty

PharmacyTaxonomy code 333600000X

License

27661 Issued in TX

Legal business name

CNC PHARMACY COMPOUNDING

Doing business as

Fairfield Pharmacy / Compounding

Practice address

15040 Fairfield Village Square Dr Ste 100
Cypress, TX 77433-7900

Phone

(281) 758-4040

Fax

(281) 758-4043

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Chiebonam Onyekwelu, PHARMDNPI 1629307350

Title

Managing Member

Phone

(281) 827-4432

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Fairfield Pharmacy / Compounding Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chiebonam Obiageli Onyekwelu, PHARMD

  • Pharmacist
  • Cypress, TX
  • NPI 1629307350
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1518248376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15040 FAIRFIELD VILLAGE SQUARE DR STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337900",
            "telephone_number": "281-758-4040",
            "fax_number": "281-758-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15040 FAIRFIELD VILLAGE SQUARE DR STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337900",
            "telephone_number": "281-758-4040",
            "fax_number": "281-758-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNC PHARMACY COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "ONYEKWELU",
        "authorized_official_first_name": "CHIEBONAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-827-4432",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "27661",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Pharmacy / Compounding",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairfield Pharmacy / Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Cypress, TX
• Providers in Cypress, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.