Active NPI
Gabriel Balonwu
- Pharmacist
- Houston, TX
National Provider Identifier
1528650397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51156
- Practice address
- 7501 Fannin St Ste 701
Houston, TX 77054-1974 - Phone
- (713) 790-1222
- Fax
- (713) 790-1338
- NPI assigned
- Feb 3, 2021
- 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 | 51156 | TX | Primary |
Addresses
Primary practice location
7501 Fannin St Ste 701
Houston, TX 77054-1974
Mailing address
7501 Fannin St Ste 701
Houston, TX 77054-1974
Phone (713) 790-1222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11111111111 | Other | N/A |
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 |
|---|---|---|---|
| 51156 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1528650397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 FANNIN ST STE 701",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770541974",
"telephone_number": "713-790-1222",
"fax_number": "713-790-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 FANNIN ST STE 701",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770541974",
"telephone_number": "713-790-1222",
"fax_number": "713-790-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALONWU",
"first_name": "GABRIEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "11111111111",
"state": null
}
],
"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 3, 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.