Organization Active NPI

Nature Green Leaf

  • Community/Retail Pharmacy
  • Pearland, TX
National Provider Identifier
1619579554
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NATURE GREEN LEAF
Practice address
3129 Kingsley Dr Ste 2030
Pearland, TX 77584-8511
Phone
(281) 617-7438
Fax
(281) 617-1867
NPI assigned
Nov 16, 2020
Organization subpart
Yes
Parent organization
NATURE GREEN LEAFAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Dr. Charles O OjevweNPI 1417133596
Title
Pharmacy Manager/Owner
Phone
(281) 617-7438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

3129 Kingsley Dr Ste 2030
Pearland, TX 77584-8511

Mailing address

3129 Kingsley Dr Ste 2030
Pearland, TX 77584-8511
Phone (281) 617-7438

Other identifiers 1

IdentifierTypeStateIssuer
150392MedicaidTX

Other names 1

  • Nature Green Leaf Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210112000172 TX Part B Supplier - Pharmacy 6204249246 Practice locations: Pearland, TX

National Provider Directory

National Provider Directory
Part of
Nature Green Leaf

Locations

12568 Broadway St
Ste 120
Pearland, TX 77584
Phone (281) 617-7438

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1619579554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 2030",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848511",
            "telephone_number": "281-617-7438",
            "fax_number": "281-617-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 2030",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848511",
            "telephone_number": "281-617-7438",
            "fax_number": "281-617-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURE GREEN LEAF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATURE GREEN LEAF",
        "enumeration_date": "2020-11-16",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "OJEVWE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "281-617-7438",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150392",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nature Green Leaf Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nature Green Leaf Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.