Active NPI
Martin Ngole Akwensioge, PHARM.D
- Pharmacist
- Rockwall, TX
National Provider Identifier
1821321928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19679
- Practice address
- 3070 N Goliad St
Rockwall, TX 75087-7049 - Phone
- (972) 961-9335
- Fax
- (972) 961-9334
- NPI assigned
- Sep 8, 2009
- Last updated
- Oct 20, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH100000682 | DC | |
| Pharmacist | 183500000X | 19679 | MD | Primary |
| Pharmacist | 183500000X | 51318 | TX |
Addresses
Primary practice location
3070 N Goliad St
Rockwall, TX 75087-7049
Mailing address
3070 N Goliad St
Rockwall, TX 75087-7049
Phone (972) 961-9335
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 |
|---|---|---|---|
| 19679 | MD | MD | Clinical Social Worker |
| PH100000682 | DC | MD | Pharmacist |
| 51318 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1821321928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3070 N GOLIAD ST",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750877049",
"telephone_number": "972-961-9335",
"fax_number": "972-961-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 N GOLIAD ST",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750877049",
"telephone_number": "972-961-9335",
"fax_number": "972-961-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKWENSIOGE",
"first_name": "MARTIN",
"middle_name": "NGOLE",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-08",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100000682",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19679",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51318",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.