Active NPI
Linda-Joseline Eyong Nkwanchung, PHARM.D
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1770916157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53720
- Practice address
- 6244 Lake Worth Blvd
Fort Worth, TX 76135-3705 - Phone
- (817) 238-0385
- Fax
- (817) 238-0382
- NPI assigned
- Aug 20, 2013
- 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 | 53720 | TX | Primary |
Addresses
Primary practice location
6244 Lake Worth Blvd
Fort Worth, TX 76135-3705
Mailing address
4324 Golden Triangle Blvd
Fort Worth, TX 76244-6314
Phone (817) 431-0616
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 |
|---|---|---|---|
| 53720 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1770916157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 GOLDEN TRIANGLE BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762446314",
"telephone_number": "817-431-0616",
"fax_number": "817-431-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6244 LAKE WORTH BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761353705",
"telephone_number": "817-238-0385",
"fax_number": "817-238-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NKWANCHUNG",
"first_name": "LINDA-JOSELINE",
"middle_name": "EYONG",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53720",
"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 Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.