Active NPI
Nathaniel Oyefeso
- Pharmacist
- Boerne, TX
National Provider Identifier
1780297259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57691
- Practice address
- 9089 Fair Oaks Pkwy
Boerne, TX 78015-4646 - Phone
- (219) 698-9538
- NPI assigned
- Aug 25, 2020
- Last updated
- Aug 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 57691 | TX | Primary |
Addresses
Primary practice location
9089 Fair Oaks Pkwy
Boerne, TX 78015-4646
Mailing address
8726 Rancho de Taos
Helotes, TX 78023-3776
Phone (832) 364-3420
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 |
|---|---|---|---|
| 57691 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1780297259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8726 RANCHO DE TAOS",
"city": "HELOTES",
"state": "TX",
"postal_code": "780233776",
"telephone_number": "832-364-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9089 FAIR OAKS PKWY",
"city": "BOERNE",
"state": "TX",
"postal_code": "780154646",
"telephone_number": "219-698-9538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYEFESO",
"first_name": "NATHANIEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-25",
"last_updated": "2020-08-25",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "57691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.