Individual provider Active NPI

Roy Nwakamma, PHARM D.

  • Pharmacist
  • Fort Worth, TX
National Provider Identifier
1760007744
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42891 Issued in TX
Practice address
4501 E Lancaster Ave # 105
Fort Worth, TX 76103-3210
Phone
(682) 224-2705
NPI assigned
Jun 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42891 TX Primary

Addresses

Primary practice location

4501 E Lancaster Ave # 105
Fort Worth, TX 76103-3210

Mailing address

701 Sierra Ave
Mansfield, TX 76063-1885
Phone (713) 817-3205

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

LicenseStateTypeSpecialty
42891TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rokel LLC CurrentSince Jul 5, 2020 Accepting new patients

Locations

4501 E Lancaster Ave
Ste 105
Fort Worth, TX 76103
Phone (682) 224-2705

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1760007744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SIERRA AVE",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631885",
            "telephone_number": "713-817-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 E LANCASTER AVE # 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033210",
            "telephone_number": "682-224-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAKAMMA",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "42891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.