Individual provider Active NPI

Obinna Reginald Obidike, RPH

  • Pharmacist
  • Frisco, TX
National Provider Identifier
1801550165
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69712 Issued in TX
Practice address
7255 Coit Rd
Frisco, TX 75035-4906
Phone
(214) 705-1195
NPI assigned
Oct 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69712 TX Primary

Addresses

Primary practice location

7255 Coit Rd
Frisco, TX 75035-4906

Mailing address

15149 Shellwood LN
Frisco, TX 75035-6493
Phone (201) 932-6308

Other practice location 1

8801 Lakeview Pkwy
Rowlett, TX 75088-4532
Phone (201) 932-6308

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
69712TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jan 1, 2023 Accepting new patients
Walgreen Co PastSince Oct 1, 2021 Accepting new patients

Locations

7255 Coit Rd
Frisco, TX 75035
Phone (214) 705-1195

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": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1801550165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15149 SHELLWOOD LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356493",
            "telephone_number": "201-932-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 COIT RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354906",
            "telephone_number": "214-705-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 Lakeview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Rowlett",
            "state": "TX",
            "postal_code": "750884532",
            "country_code": "US",
            "telephone_number": "201-932-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIDIKE",
        "first_name": "OBINNA",
        "middle_name": "REGINALD",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-23",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "69712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.