Active NPI
Deogratius Kabyemera
- Pharmacist
- Dallas, TX
National Provider Identifier
1942604582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51536
- Practice address
- 1521 N Cockrell Hill Rd
Dallas, TX 75211-1315 - Phone
- (214) 330-3120
- NPI assigned
- Oct 10, 2014
- Last updated
- Oct 10, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 51536 | TX | Primary |
Addresses
Primary practice location
1521 N Cockrell Hill Rd
Dallas, TX 75211-1315
Mailing address
118 Westongate Way
Cary, NC 27513
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 |
|---|---|---|---|
| 51536 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1942604582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WESTONGATE WAY",
"city": "CARY",
"state": "NC",
"postal_code": "27513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 N COCKRELL HILL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752111315",
"telephone_number": "214-330-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABYEMERA",
"first_name": "DEOGRATIUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.