Individual provider Active NPI

Chinyelu Julieth Ezenwugo Ofili

  • Pharmacist
  • Lake Jackson, TX
National Provider Identifier
1811611445
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63784 Issued in TX
Practice address
117 Oyster Creek Dr
Lake Jackson, TX 77566-4157
Phone
(832) 746-3026
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 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 63784 TX Primary

Addresses

Primary practice location

117 Oyster Creek Dr
Lake Jackson, TX 77566-4157

Mailing address

344 Honeysuckle Vine Dr
Rosenberg, TX 77469-5041
Phone (832) 746-3026

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
63784TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1811611445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 HONEYSUCKLE VINE DR",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774695041",
            "telephone_number": "832-746-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 OYSTER CREEK DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664157",
            "telephone_number": "832-746-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZENWUGO OFILI",
        "first_name": "CHINYELU",
        "middle_name": "JULIETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.