Individual provider Active NPI

Daniel O Nsofor Sr., PHARM D.

  • Pharmacist
  • Arlington, TX
National Provider Identifier
1679800080
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41220 Issued in TX
Practice address
2410 Ballpark Way
Walgreens
Arlington, TX 76006-4615
Phone
(817) 861-7661
Fax
(817) 861-7667
NPI assigned
Nov 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41220 TX Primary

Addresses

Primary practice location

2410 Ballpark Way
Walgreens
Arlington, TX 76006-4615

Mailing address

102 Lorient Dr
Mansfield, TX 76063-5569
Phone (682) 552-8285

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
41220TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 2

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": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1679800080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LORIENT DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635569",
            "telephone_number": "682-552-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 BALLPARK WAY",
            "address_2": "WALGREENS",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760064615",
            "telephone_number": "817-861-7661",
            "fax_number": "817-861-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSOFOR",
        "first_name": "DANIEL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "41220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.