Active NPI
Anne Deba Ikponmwonba, RPH
- Pharmacist
- Harlingen, TX
National Provider Identifier
1689946238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30180
- Practice address
- 1406 E Harrison Ave
Harlingen, TX 78550-7101 - Phone
- (956) 793-0111
- NPI assigned
- Jan 28, 2012
- Sex
- Female
- 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 | 30180 | TX | Primary |
Addresses
Primary practice location
1406 E Harrison Ave
Harlingen, TX 78550-7101
Mailing address
2917 Lakewood
Harlingen, TX 78550-7843
Phone (956) 793-0111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30180 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327708800000",
"number": "1689946238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 LAKEWOOD",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785507843",
"telephone_number": "956-793-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 E HARRISON AVE",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785507101",
"telephone_number": "956-793-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKPONMWONBA",
"first_name": "ANNE",
"middle_name": "DEBA",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-28",
"last_updated": "2012-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "30180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.