Active NPI
Ebere Rachael Enebeli, PHARMD
- Pharmacist
- Dallas, TX
National Provider Identifier
1750985800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49109
- Practice address
- 2501 N Field St
Dallas, TX 75201-1662 - Phone
- (214) 468-8732
- Fax
- (214) 468-8834
- NPI assigned
- Nov 29, 2020
- 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 | 49109 | TX | Primary |
Addresses
Primary practice location
2501 N Field St
Dallas, TX 75201-1662
Mailing address
740 S Greenville Ave
Richardson, TX 75081-4112
Phone (469) 418-9919
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49109 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1750985800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 S GREENVILLE AVE",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750814112",
"telephone_number": "469-418-9919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N FIELD ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752011662",
"telephone_number": "214-468-8732",
"fax_number": "214-468-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENEBELI",
"first_name": "EBERE",
"middle_name": "RACHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.