Active NPI
Prince Chimezie Ogbonna, PHARMACIST
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1629196662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52139
- Practice address
- 6080 S Hulen St Ste 320
Fort Worth, TX 76132-2634 - Phone
- (682) 250-2229
- Fax
- (682) 224-3820
- NPI assigned
- Mar 27, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR4609 | ME | |
| Pharmacist | 183500000X | PH22660 | MA | |
| Pharmacist | 183500000X | 52139 | TX | Primary |
Addresses
Primary practice location
6080 S Hulen St Ste 320
Fort Worth, TX 76132-2634
Mailing address
6080 S Hulen St Ste 320
Fort Worth, TX 76132-2634
Phone (682) 250-2229
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52139 | Other | TX | TEXAS BOARD OF PHARMACY FOR PHARMACIST |
| PH22660 | Other | GA | RPH LICENSE NUMBER |
| 150302 | Medicaid | TX | |
| PR4609 | Other | ME | RPH LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.macprincepharmacy.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| PH22660 | MA | MD | Pharmacist |
| PR4609 | ME | MD | Pharmacist |
| 52139 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Machias Friendly Pharmacy | Current | Accepting new patients | |
| Machias Friendly Pharmacy | Current | Accepting new patients | |
| Macprince Pharmacy Inc. | Current | Accepting new patients |
Locations
8 Old County Rd
Marshfield, ME 04654
Phone (207) 255-6400
3401 Altamesa Blvd
Ste 122
Fort Worth, TX 76133
Phone (682) 250-2229
6080 S Hulen St
Ste 320
Fort Worth, TX 76132
Phone (682) 250-2229
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Amarillo, TX
- NPI 1558602714
-
- Community/Retail Pharmacy
- Fort Worth, TX
- NPI 1235763277
-
- Community/Retail Pharmacy
- Marshfield, ME
- NPI 1568580587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1629196662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6080 S HULEN ST STE 320",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761322634",
"telephone_number": "682-250-2229",
"fax_number": "682-224-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 S HULEN ST STE 320",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761322634",
"telephone_number": "682-250-2229",
"fax_number": "682-224-3820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBONNA",
"first_name": "PRINCE",
"middle_name": "CHIMEZIE",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4609",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH22660",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "52139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF PHARMACY FOR PHARMACIST",
"identifier": "52139",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE NUMBER",
"identifier": "PH22660",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE NUMBER",
"identifier": "PR4609",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.macprincepharmacy.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6080 S Hulen St Ste 320",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761322634",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.