Active NPI
Cedric Nettey
- Pharmacist
- Pearland, TX
National Provider Identifier
1699508556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74236
- Practice address
- 9522 Broadway St
Pearland, TX 77584-7724 - Phone
- (513) 807-6904
- NPI assigned
- Aug 24, 2024
- 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 | 74236 | TX | Primary |
Addresses
Primary practice location
9522 Broadway St
Pearland, TX 77584-7724
Mailing address
4851 Benning Dr
Houston, TX 77035-5928
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 |
|---|---|---|---|
| 74236 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724457600000",
"number": "1699508556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 BENNING DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770355928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9522 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847724",
"telephone_number": "513-807-6904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETTEY",
"first_name": "CEDRIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-24",
"last_updated": "2024-08-24",
"certification_date": "2024-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "74236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.