DR. TIMOTHY MARCUS EGBUKA (NPI# 1295235588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295235588 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY MARCUS EGBUKA |
| Credential | PHARMD, BCPS, BCACP |
| Practice Address |
17115 Interstate 35 N Ste 123 Schertz TX 78154 |
| Mailing Address |
4906 Wurzbach Pkwy Apt 1413 San Antonio TX 78233-4697 |
| Practice Telephone | 2109169900 |
| Mailing Telephone | 5732253254 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0014771 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
2016021938 | MO | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
2016021938 | MO | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 895 Hwy 248, Branson, MO 656163721 | 4175760425 |
| Street Address |
17115 INTERSTATE 35 N STE 123 |
| City | SCHERTZ |
| State | TX |
| Zip Code | 78154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229256 | Deann Fierro | Counselor | 3728 Hull Sreet, Schertz, TX 78154 | 2020-09-14 |
| 1467097949 | Fresenius Medical Care San Antonio, LLC | Clinic/Center | 1787 Fm 3009, Schertz, TX 78154 | 2019-11-08 |
| 1881237113 | Erica Lizet Scherzinger | Nurse Practitioner | 1205 N Sh 1604 Loop W Frontage Rd, San Antonio, TX 78154 | 2019-10-18 |
| 1831740752 | La'wanda Myers | Social Worker | 19315 Farm To Market Road 2252, Garden Ridge, TX 78154 | 2019-09-23 |
| 1467006619 | Vanessa Biesenbach | Behavior Technician | 133 Windy Meadows, Suite 101, Schertz, TX 78154 | 2019-07-26 |
| 1043874308 | Jessica Gail Rourke | Occupational Therapist | 5700 Schertz Parkway Ste 100, Schertz, TX 78154 | 2019-04-23 |
| 1750871729 | Jenna Kamaile Nurial Dacalio | Behavioral Analyst | 15620 York Lane, Selma, TX 78154 | 2018-05-15 |
| 1235630070 | Ginger Odom | Speech-Language Pathologist | 1600 Shady Brook, Schertz, TX 78154 | 2018-02-27 |
| 1013423110 | Polite Transit LLC | Non-emergency Medical Transport (VAN) | 16222 Horse Brg, Selma, TX 78154 | 2017-12-27 |
| 1013429190 | Jennifer Geisel | Specialist/Technologist | 8453 E 1518 North, Schertz, TX 78154 | 2017-10-30 |
| Find all providers in zip 78154 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497813 | Cindy Layton Potter | Pharmacist | 400 Myrtle St, Nacogdoches, TX 75965-2652 | 2020-11-05 |
| 1306446398 | Claud Cameron | Pharmacist | 23552 Nameless Rd, Leander, TX 78641-9022 | 2020-10-28 |
| 1306445234 | Chloe Lee | Pharmacist | 4620 Sh 121, Lewisville, TX 75056-4530 | 2020-10-21 |
| 1205435195 | Scott Sadlowski | Pharmacist | 12605 I-45 N, Willis, TX 77318 | 2020-10-21 |
| 1891394102 | Shaunda Lynn Jackson | Pharmacist | 19250 W Lake Houston Pkwy, Humble, TX 77346-2279 | 2020-10-19 |
| 1841898251 | Pablo Reyna Castro | Pharmacist | 3100 S Gordon St, Alvin, TX 77511-4790 | 2020-10-16 |
| 1659979078 | Tina Teresa Cherian | Pharmacist | 341 S Loop 336 W, Conroe, TX 77304-3309 | 2020-10-16 |
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1396350666 | Patient Care Services Pharmacy Consulting, LLC | Pharmacist | 2000 N Central Expy Ste 214, Plano, TX 75074-5487 | 2020-09-13 |
| 1942813209 | Mountaineer Consultants LLC | Pharmacist | 933 Pellegrino Ave, El Paso, TX 79932-2063 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.