Active NPI
Ifeyinwa E Nwosu, RPH
- Pharmacist
- El Paso, TX
National Provider Identifier
1861614695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39116
- Practice address
- 840 E Redd Rd
BLDG # 1a
El Paso, TX 79912-7264 - Phone
- (915) 845-7600
- Fax
- (915) 845-7601
- NPI assigned
- May 2, 2007
- Last updated
- Apr 22, 2008
- 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 | 39116 | TX | Primary |
Addresses
Primary practice location
840 E Redd Rd
BLDG # 1a
El Paso, TX 79912-7264
Mailing address
840 E Redd Rd
BLDG # 1a
El Paso, TX 79912-7264
Phone (915) 845-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145802 | Medicaid | TX |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39116 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De-Vine Pharmacy Inc | 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, 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": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1861614695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 E REDD RD",
"address_2": "BLDG # 1A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799127264",
"telephone_number": "915-845-7600",
"fax_number": "915-845-7601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 E REDD RD",
"address_2": "BLDG # 1A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799127264",
"telephone_number": "915-845-7600",
"fax_number": "915-845-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWOSU",
"first_name": "IFEYINWA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.