Individual provider Active NPI

Linus Nwosu

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Irving, TX
National Provider Identifier
1972279172
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
30267 Issued in TX
Practice address
1202 W Pioneer Dr Ste 140
Irving, TX 75061-7309
Phone
(972) 259-6094
Fax
(972) 259-3094
NPI assigned
Aug 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 30267 TX Primary

Addresses

Primary practice location

1202 W Pioneer Dr Ste 140
Irving, TX 75061-7309

Mailing address

1202 W Pioneer Dr Ste 140
Irving, TX 75061-7309
Phone (972) 259-6094

Other practice location 1

1235 S Josey Ln Ste 533
Carrollton, TX 75006-7665
Phone (972) 417-8895

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

LicenseStateTypeSpecialty
30267TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Generx Discount Pharmacy Inc. PastSince Aug 28, 2021 Accepting new patients
Generx Discount Pharmacy Inc. PastSince Aug 28, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1972279172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W PIONEER DR STE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617309",
            "telephone_number": "972-259-6094",
            "fax_number": "972-259-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W PIONEER DR STE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617309",
            "telephone_number": "972-259-6094",
            "fax_number": "972-259-3094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 S Josey Ln Ste 533",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750067665",
            "country_code": "US",
            "telephone_number": "972-417-8895",
            "fax_number": "972-418-1646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "LINUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "30267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.