Individual provider Active NPI

Chukwuemezie Francis Emelogu, RPH

  • Pharmacist
  • Grapevine, TX
National Provider Identifier
1770184236
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65537 Issued in TX
Practice address
302 S Park Blvd
Grapevine, TX 76051-7835
Phone
(817) 481-2598
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 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 65537 TX Primary

Addresses

Primary practice location

302 S Park Blvd
Grapevine, TX 76051-7835

Mailing address

1836 W Davis St
Dallas, TX 75208-5411
Phone (281) 658-9988

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
65537TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1770184236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085411",
            "telephone_number": "281-658-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S PARK BLVD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517835",
            "telephone_number": "817-481-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMELOGU",
        "first_name": "CHUKWUEMEZIE",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "65537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.