Active NPI
Uduak Ntuen, PHARM.D.
- Pharmacist
- Austin, TX
National Provider Identifier
1841739265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56230
- Practice address
- 9617 Great Hills TRL Apt 1232
Austin, TX 78759-6382 - Phone
- (336) 337-7149
- NPI assigned
- Feb 17, 2017
- Last updated
- Dec 23, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.022188 | LA | |
| Pharmacist | 183500000X | 051303564 | IL | |
| Pharmacist | 183500000X | 24542 | NC | |
| Pharmacist | 183500000X | 56230 | TX | Primary |
Addresses
Primary practice location
9617 Great Hills TRL Apt 1232
Austin, TX 78759-6382
Mailing address
2434 N Sacramento Ave
Chicago, IL 60647-2666
Phone (773) 687-6346
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 |
|---|---|---|---|
| 051303564 | IL | MD | Pharmacist |
| PST.022188 | LA | MD | Pharmacist |
| 24542 | NC | MD | Pharmacist |
| 56230 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS LLC | Current | Accepting new patients | |
| Global Harmony Care Solutions LLC | Current | Accepting new patients |
Locations
2434 N Sacramento Ave
Chicago, IL 60647
Phone (773) 687-6346
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.
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1760343958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1841739265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2434 N SACRAMENTO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472666",
"telephone_number": "773-687-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9617 GREAT HILLS TRL APT 1232",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787596382",
"telephone_number": "336-337-7149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NTUEN",
"first_name": "UDUAK",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-17",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.022188",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051303564",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24542",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "56230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.