Active NPI
Obinna Reginald Obidike, RPH
- Pharmacist
- Frisco, TX
National Provider Identifier
1801550165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69712
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 69712 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | 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.
-
- Pharmacy
- Frisco, TX
- NPI 1619101185
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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.