Individual provider Active NPI

Seun Rapheal Oluwo, RPH

  • Pharmacist
  • Katy, TX
National Provider Identifier
1689279549
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50347 Issued in TX
Practice address
21700 Kinsland Blvd
Suite 105
Katy, TX 77450-2546
Phone
(281) 829-6497
Fax
(281) 829-3581
NPI assigned
Nov 30, 2020
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50347 TX Primary

Addresses

Primary practice location

21700 Kinsland Blvd
Suite 105
Katy, TX 77450-2546

Mailing address

4451 W Fuqua St
Houston, TX 77045-6205
Phone (713) 433-6447

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Houston Direct

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
50347TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Leviant LLC Current Accepting new patients
Leviant LLC Current Accepting new patients
CVS Pharmacy Inc PastSince Dec 1, 2020 Accepting new patients
CVS Pharmacy Inc PastSince Dec 1, 2020 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1689279549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 W FUQUA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770456205",
            "telephone_number": "713-433-6447",
            "fax_number": "713-434-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 KINSLAND BLVD",
            "address_2": "SUITE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502546",
            "telephone_number": "281-829-6497",
            "fax_number": "281-829-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWO",
        "first_name": "SEUN",
        "middle_name": "RAPHEAL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Houston",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4451 W Fuqua St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770456205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.