Lilian Ndidi Ogbueze

Primary specialty

PharmacistTaxonomy code 183500000X

License

57253 Issued in TX

Practice address

11103 W Military Dr
San Antonio, TX 78251-3903

Phone

(210) 679-5267

Fax

(210) 679-0460

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • San Antonio, TX
  • NPI 1851308803
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1619580339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 W MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513903",
            "telephone_number": "210-679-5267",
            "fax_number": "210-679-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11103 W MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513903",
            "telephone_number": "210-679-5267",
            "fax_number": "210-679-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBUEZE",
        "first_name": "LILIAN",
        "middle_name": "NDIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "57253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851308803",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lylolilly4u@gmail.com",
            "affiliation": "N",
            "address_1": "11103 W Military Dr",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782513903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacy Ogbeide, PSYD
• Cletus Chikezie Ogbonna
• Chinonye Chika Ogbonnaya-Odor, M.D
• Chukwuemeka Ogbu, RPH
• Irica Ogbu
• Josephine Ogbugbulu, OWNER PRESIDENT
• Joseph Anthony Ogburn, MD
• Kelin Mezzomo Ogburn, M.D.
• Mallory Jane Ogburn, MD
• James D Ogden, DPM

• Pharmacist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.