Active NPI
Bartholomew A Akubukwe, PHARM D.
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1639553431
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jun 17, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- TX44103
- Practice address
- 6700 Westfree Way
Fortworth, TX 76116 - Phone
- (817) 377-8078
- Fax
- (817) 377-8452
- NPI assigned
- Jul 13, 2015
- 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 | TX44103 | TX | Primary |
Addresses
Primary practice location
6700 Westfree Way
Fortworth, TX 76116
Mailing address
1402 Lennox Way
Mansfield, TX 76063-8628
Phone (832) 298-1971
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX44103 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1639553431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 LENNOX WAY",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638628",
"telephone_number": "832-298-1971",
"fax_number": "817-377-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 WESTFREE WAY",
"city": "FORTWORTH",
"state": "TX",
"postal_code": "76116",
"telephone_number": "817-377-8078",
"fax_number": "817-377-8452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKUBUKWE",
"first_name": "BARTHOLOMEW",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "TX44103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.