Organization Active NPI

Echo Health LLC

Doing business as Nova Specialty Pharmacy

  • Compounding Pharmacy
  • Mansfield, TX
National Provider Identifier
1538858733
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
ECHO HEALTH LLC
Doing business as
Nova Specialty Pharmacy
Practice address
2651 E Broad St Ste 101
Mansfield, TX 76063-3899
Phone
(682) 400-8154
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. Obiechina Ezekwesili, PHARMD
Title
Director of Pharmacy
Phone
(305) 924-3247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

2651 E Broad St Ste 101
Mansfield, TX 76063-3899

Mailing address

2651 E Broad St Ste 101
Mansfield, TX 76063-3899
Phone (682) 400-8154

Other names 1

  • Nova Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2651 E Broad St
Ste 101
Mansfield, TX 76063
Phone (682) 400-8154

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1538858733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 E BROAD ST STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633899",
            "telephone_number": "682-400-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 E BROAD ST STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633899",
            "telephone_number": "682-400-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "EZEKWESILI",
        "authorized_official_first_name": "OBIECHINA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "305-924-3247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.