Active NPI
Maureen Ikpeazu, PHARMACIST
- Pharmacist
- Killeen, TX
National Provider Identifier
1750106050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50011
- Practice address
- 1000 E Central Texas Expy
Killeen, TX 76541-9162 - Phone
- (254) 526-4258
- NPI assigned
- Nov 21, 2024
- 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 | 50011 | TX | Primary |
Addresses
Primary practice location
1000 E Central Texas Expy
Killeen, TX 76541-9162
Mailing address
6500 Burling St
Waco, TX 76712-7577
Phone (857) 222-2364
Other names 1
- Maureen Ikpeazu-Coulter
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 |
|---|---|---|---|
| 50011 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1000 E Central Texas Expy
Killeen, TX 76541
Phone (254) 526-4258
Organizations & group practices 2
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.
-
- Pharmacy
- Killeen, TX
- NPI 1245426600
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1750106050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 BURLING ST",
"city": "WACO",
"state": "TX",
"postal_code": "767127577",
"telephone_number": "857-222-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E CENTRAL TEXAS EXPY",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765419162",
"telephone_number": "254-526-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKPEAZU",
"first_name": "MAUREEN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "50011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "IKPEAZU-COULTER",
"credential": "CLINICAL PHARMACIST",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.