Individual provider Active NPI

Obiora Fredrick Anigwe

  • Pharmacist
  • Westworth Village, TX
National Provider Identifier
1790386993
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49530 Issued in TX
Practice address
6770 Westworth Blvd
Westworth Village, TX 76114-4002
Phone
(817) 570-0827
NPI assigned
Nov 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 49530 TX Primary

Addresses

Primary practice location

6770 Westworth Blvd
Westworth Village, TX 76114-4002

Mailing address

6770 Westworth Blvd
Westworth Village, TX 76114-4002
Phone (817) 570-0827

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

LicenseStateTypeSpecialty
49530TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Az Health Systems LLC Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1790386993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 WESTWORTH BLVD",
            "city": "WESTWORTH VILLAGE",
            "state": "TX",
            "postal_code": "761144002",
            "telephone_number": "817-570-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 WESTWORTH BLVD",
            "city": "WESTWORTH VILLAGE",
            "state": "TX",
            "postal_code": "761144002",
            "telephone_number": "817-570-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIGWE",
        "first_name": "OBIORA",
        "middle_name": "FREDRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westworth Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.