Individual provider Active NPI

Brandon Nnamdi Ogbodu, BRANDON

  • Pharmacist
  • Humble, TX
National Provider Identifier
1801442496
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65299 Issued in TX
Practice address
9315 Delicado Dr
Humble, TX 77396-6207
Phone
(818) 606-3933
NPI assigned
Aug 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 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 65299 TX Primary

Addresses

Primary practice location

9315 Delicado Dr
Humble, TX 77396-6207

Mailing address

8221 Woodlake Ave
West Hills, CA 91304-3565
Phone (818) 606-3933

Other identifiers 1

IdentifierTypeStateIssuer
65299OtherTXREGISTERED PHARMACIST

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
65299TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Pharmacy, LLC Current Accepting new patients
Savenett Helping Hands Inc PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 2

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": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1801442496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 WOODLAKE AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043565",
            "telephone_number": "818-606-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 DELICADO DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773966207",
            "telephone_number": "818-606-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBODU",
        "first_name": "BRANDON",
        "middle_name": "NNAMDI",
        "credential": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-10",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "65299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "65299",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.