Organization Active NPI

Emmanuel Chuks Obi

Doing business as Good Shepard Pharmacy

  • Community/Retail Pharmacy
  • El Paso, TX
National Provider Identifier
1740319524
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22478 Issued in TX
Legal business name
EMMANUEL CHUKS OBI
Doing business as
Good Shepard Pharmacy
Practice address
5340 El Paso Dr
Ste C
El Paso, TX 79905-2837
Phone
(915) 778-9900
Fax
(915) 778-9904
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Emmanuel Obi
Title
Owner and Ceo
Phone
(915) 543-3880

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 22478 TX Primary

Addresses

Primary practice location

5340 El Paso Dr
Ste C
El Paso, TX 79905-2837

Mailing address

5301 Alameda Ave
El Paso, TX 79905-2805

Other identifiers 2

IdentifierTypeStateIssuer
4573007OtherNCPDP PROVIDER IDENTIFICATION NUMBER
145256MedicaidTX

Other names 1

  • GOOD SHEPARD PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1740319524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 EL PASO DR",
            "address_2": "STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052837",
            "telephone_number": "915-778-9900",
            "fax_number": "915-778-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL CHUKS OBI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "915-543-3880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4573007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145256",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD SHEPARD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.