Active NPI
Enoabasi Udofia
- Pharmacist
- Friendswood, TX
National Provider Identifier
1942035944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74727
- Practice address
- 19100 Glenwest Dr Apt 313
Friendswood, TX 77546-7870 - Phone
- (713) 444-5104
- NPI assigned
- Sep 9, 2024
- 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 | 74727 | TX | Primary |
Addresses
Primary practice location
19100 Glenwest Dr Apt 313
Friendswood, TX 77546-7870
Mailing address
2242 Repsdorph Rd
Seabrook, TX 77586-6446
Phone (281) 474-4042
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74727 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1942035944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2242 REPSDORPH RD",
"city": "SEABROOK",
"state": "TX",
"postal_code": "775866446",
"telephone_number": "281-474-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19100 GLENWEST DR APT 313",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775467870",
"telephone_number": "713-444-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDOFIA",
"first_name": "ENOABASI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "74727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Friendswood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.