Good Shepard Pharmacy
LBN: Emmanuel Chuks Obi
Good Shepard Pharmacy is an health care organization with primary practice located at 5301 Alameda Ave , El Paso TX 79905-2805. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Emmanuel Chuks Obi can be contacted via phone (915) 542-3880, or through Obi, Emmanuel via phone (915) 542-3880.
Contact Information
Primary practice address
5301 Alameda Ave
El Paso TX 79905-2805
Phone: (915) 542-3880
Fax: (915) 772-4844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 19621 | Texas |
Profile Details
| NPI number | 1609875541 |
|---|---|
| LBN Legal business name | Emmanuel Chuks Obi |
| DBA Doing business as | Good Shepard Pharmacy |
| Authorized official | Obi, Emmanuel RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Aug 3rd, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609875541 | NPPES |
| Other | 4509216 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 144857 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 27510 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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