Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IKENNA MODEBELU
Active Sole ProprietorIKENNA MODEBELU is a Pharmacist healthcare provider located in FORT WORTH, Texas. NPI 1104420397 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · FORT WORTH, TX
Registration Details
- NPI Number
- 1104420397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2020 (5.5223789640512 yrs)
- Last Updated
- Nov 28, 2020
- Licenses
-
PH238079 (MA)57121 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5201 GOLDEN TRIANGLE BLVDFORT WORTH, TX, 762444468Browse TX providers · Browse ZIP 76244
- Phone
- 8177414330
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| JENNIFER T FIX | PHARMD, MBA | 1326047507 |
| DR. TANA RAELIZABETH DONNELL | PHARM D. | 1770576894 |
| RODORA HAYAG MANALANSAN | RPH | 1336124353 |
| CRAIG ANTHONY NICHOLSON | RPH | 1417933912 |
| MS. MARCELLA M. CROPPER | R.PH. | 1972589786 |
| MR. DAVID E REDELSPERGER | RPH, DPH | 1275505307 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.