Active NPI
Adaora Sylvia Otegbulu, PHARMD
- Pharmacist
- Pasadena, TX
National Provider Identifier
1811392822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53734
- Practice address
- 3927 Spencer Hwy
Pasadena, TX 77504-1200 - Phone
- (832) 287-0587
- NPI assigned
- Nov 3, 2014
- Sex
- Female
- 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 | 53734 | TX | Primary |
Addresses
Primary practice location
3927 Spencer Hwy
Pasadena, TX 77504-1200
Mailing address
3029 Sunrise Run LN
Pearland, TX 77584-1897
Phone (832) 287-0587
Other practice location 1
2526 Business Center Dr
Apt 438
Pearland, TX 77584-2295
Phone (832) 287-0587
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53734 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belzik Pharmacy LLC | Past | 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": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585353600000",
"number": "1811392822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 SUNRISE RUN LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775841897",
"telephone_number": "832-287-0587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3927 SPENCER HWY",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041200",
"telephone_number": "832-287-0587"
}
],
"practiceLocations": [
{
"address_1": "2526 Business Center Dr",
"address_2": "Apt 438",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775842295",
"country_code": "US",
"telephone_number": "832-287-0587",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTEGBULU",
"first_name": "ADAORA",
"middle_name": "SYLVIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-03",
"last_updated": "2020-03-28",
"certification_date": "2020-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.