Active NPI
Peter Chukwudiebele Oraekwe, PHARM.D
- Pharmacist
- Boerne, TX
National Provider Identifier
1841493699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40365
- Practice address
- 1201 S Main St
Suite 121
Boerne, TX 78006-2833 - Phone
- (830) 357-5052
- Fax
- (830) 357-5053
- NPI assigned
- Jun 8, 2007
- Last updated
- Jan 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40365 | TX | Primary |
| Pharmacist | 183500000X | RPH023395 | GA |
Addresses
Primary practice location
1201 S Main St
Suite 121
Boerne, TX 78006-2833
Mailing address
1201 S Main St
Suite 121
Boerne, TX 78006-2833
Phone (830) 357-5052
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 |
|---|---|---|---|
| RPH023395 | GA | MD | Pharmacist |
| 40365 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Pharmacy LLC | Current | Accepting new patients | |
| Rock Pharmacy LLC | Current | Accepting new patients |
Locations
1201 S Main St
Ste 121
Boerne, TX 78006
Phone (830) 357-5052
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1841493699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"address_2": "SUITE 121",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062833",
"telephone_number": "830-357-5052",
"fax_number": "830-357-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"address_2": "SUITE 121",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062833",
"telephone_number": "830-357-5052",
"fax_number": "830-357-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORAEKWE",
"first_name": "PETER",
"middle_name": "CHUKWUDIEBELE",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40365",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023395",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.