NPIMap

Individual provider Active NPI

Emmanuel Okezie Egenti

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Euless, TX
National Provider Identifier
1720456908
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
27886 Issued in TX
Practice address
350 Westpark Way
Suite 300
Euless, TX 76040-3964
Phone
(817) 545-6600
Fax
(817) 545-6667
NPI assigned
Sep 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27886 TX
Geriatric Pharmacist 1835G0303X 27886 TX
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 27886 TX Primary
Pharmacotherapy Pharmacist 1835P1200X 27886 TX
Psychiatric Pharmacist 1835P1300X 27886 TX

Addresses

Primary practice location

350 Westpark Way
Suite 300
Euless, TX 76040-3964

Mailing address

350 Westpark Way
Suite 300
Euless, TX 76040-3964
Phone (817) 545-6600

Other names 1

  • Mr. Emmanuel Okezie Egenti Professional name

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

LicenseStateTypeSpecialty
27886TXMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Westpark Discount Pharmacy Past Accepting new patients

Organizations & group practices 1

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": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1720456908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "SUITE 300",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403964",
            "telephone_number": "817-545-6600",
            "fax_number": "817-545-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "SUITE 300",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403964",
            "telephone_number": "817-545-6600",
            "fax_number": "817-545-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGENTI",
        "first_name": "EMMANUEL",
        "middle_name": "OKEZIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "27886",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "TX",
            "license": "27886",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "27886",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "27886",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "TX",
            "license": "27886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMANUEL",
            "last_name": "EGENTI",
            "middle_name": "OKEZIE",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.