KELECHI V. ETOH PHARMD, MPH – NPI #1932837028
Pharmacist

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.

KELECHI ETOH is a pharmacist located in TEXARKANA, TX. NPPES has assigned the NPI number 1932837028 to KELECHI ETOH on August 08, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was previously updated about 4 years ago on Aug 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELECHI ETOH below.

NPI Profile for
KELECHI V. ETOH

NPI Number
1932837028
Enumeration Date

(about 4 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KELECHI V. ETOH
Credentials
PHARMD, MPH
Primary location
2600 SAINT MICHAEL DR
TEXARKANA, TX 75503-2372
Phone: (469) 614-4905 Fax:
1 Other location(s):
4209 Creek Falls Dr
Corinth, TX 76208-5187
Phone: (469) 614-4905
Mailing address
3636 STONELEDGE DR APT 1434
TEXARKANA, TX 75503-1156
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Aug 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)
TX 70790

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
4696144905
Endpoint type
Other URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2600 SAINT MICHAEL DR,
TEXARKANA, TX 77025-1669