NPIMap

Organization Active NPI

Eckland Pharmacy Inc

  • Community/Retail Pharmacy
  • El Paso, TX
National Provider Identifier
1902803695
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25462 Issued in TX
Legal business name
ECKLAND PHARMACY INC
Practice address
125 W Hague Rd
Ste 100
El Paso, TX 79902-5814
Phone
(915) 533-8194
Fax
(915) 532-4611
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clement Nduka, PHARM.D.NPI 1881815132
Title
Pic / Owner
Phone
(915) 533-8194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25462 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

125 W Hague Rd
Ste 100
El Paso, TX 79902-5814

Mailing address

125 W Hague Rd
Ste 100
El Paso, TX 79902-5814
Phone (915) 533-8194

Other identifiers 3

IdentifierTypeStateIssuer
145285MedicaidTX
2190977-01MedicaidTX
4519089OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ECKLAND PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

125 W Hague Rd
Ste 100
El Paso, TX 79902
Phone (915) 533-8194

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1902803695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD",
            "address_2": "STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025814",
            "telephone_number": "915-533-8194",
            "fax_number": "915-532-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD",
            "address_2": "STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025814",
            "telephone_number": "915-533-8194",
            "fax_number": "915-532-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKLAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "NDUKA",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_title_or_position": "PIC / OWNER",
        "authorized_official_telephone_number": "915-533-8194",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25462",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145285",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190977-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4519089",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECKLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 2012; 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.