Active NPI
Olisaemeka Charles Igwegbe
- Pharmacist
- Missouri City, TX
National Provider Identifier
1598205437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46136
- Practice address
- 4724 Highway 6
Missouri City, TX 77459-4180 - Phone
- (832) 830-4718
- NPI assigned
- Feb 25, 2017
- 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 | 46136 | TX | Primary |
Addresses
Primary practice location
4724 Highway 6
Missouri City, TX 77459-4180
Mailing address
4724 Highway 6
Missouri City, TX 77459-4180
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 |
|---|---|---|---|
| 46136 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centrum Pharmacy, LLC | Pharmacist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487980800000",
"number": "1598205437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4724 HIGHWAY 6",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4724 HIGHWAY 6",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594180",
"telephone_number": "832-830-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGWEGBE",
"first_name": "OLISAEMEKA",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-25",
"last_updated": "2017-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "46136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.