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JOHN ETAKIBUEBU PHARMD
NPI 1184264384
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Henderson, TX

Active since January 15, 2020
2415 HWY 79 S, HENDERSON, TX 75652(903) 657-8596 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Etakibuebu Pharmd NPPES

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

JOHN ETAKIBUEBU PHARMD (NPI 1184264384) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Henderson, Texas, licensed in Texas (54248) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1184264384
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameJOHN ETAKIBUEBUCredential: PHARMD
Location Address2415 HWY 79 SHenderson, TX 75652
Mailing Address2415 Hwy 79 SHenderson, TX 75652 · (903) 657-8596
Phone(903) 657-8596
Sole ProprietorNo
Enumeration DateJanuary 15, 2020
✔ NPI 1184264384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in TX · 54248
Definition
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.
2415 HWY 79 S, Henderson, TX 75652
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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 John Etakibuebu's NPI number?

The NPI number for John Etakibuebu is 1184264384. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is John Etakibuebu located?

John Etakibuebu practices at 2415 Hwy 79 S, Henderson, TX 75652. The listed phone number is (903) 657-8596.

What is John Etakibuebu's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for John Etakibuebu was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.