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MR. THEODORE C OBIALO RPH
NPI 1053630012
Pharmacist in Tyler, TX

Active since May 28, 2010
3820 STATE HIGHWAY 64 W, TYLER, TX 75704(903) 597-3888 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Theodore C Obialo Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THEODORE C OBIALO RPH (NPI 1053630012) is an individual pharmacist in Tyler, Texas, licensed in Texas (33412) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1053630012
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. THEODORE C OBIALOCredential: RPH
Location Address3820 STATE HIGHWAY 64 WTyler, TX 75704-6924
Mailing Address3820 State Highway 64 WTyler, TX 75704-6924 · (903) 597-3888
Phone(903) 597-3888
Sole ProprietorNo
Enumeration DateMay 28, 2010
Last NPPES UpdateOctober 8, 2015
✔ NPI 1053630012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TX · 33412
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X · License 33412 (TX)
3820 STATE HIGHWAY 64 W, Tyler, TX 75704
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Other Names 1

Professional Name (2)Mr. Ted Obialo Rph

Other Identifiers 1

Other33412TX · Pharmacist Licence

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAL-MART STORES TEXAS LLC
Pharmacy (Community/Retail Pharmacy)
3820 STATE HIGHWAY 64 W
TYLER, TX 75704
Smith County (903) 597-3888
MC MEDICAL LLC
General Practice
3820 STATE HIGHWAY 64 W
TYLER, TX 75704
Smith County (903) 594-4761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Obialo's NPI number?

The NPI number for Theodore Obialo is 1053630012. It was assigned to this individual provider in the NPPES registry on May 28, 2010. The provider is also known as Mr. Ted Obialo Rph.

Where is Theodore Obialo located?

Theodore Obialo practices at 3820 State Highway 64 W, Tyler, TX 75704. The listed phone number is (903) 597-3888.

What is Theodore Obialo's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Theodore Obialo was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.