Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053630012 Individual Practitioner Male Practitioner

Theodore C Obialo , RPH

Pharmacist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Theodore Obialo, RPH is a registered healthcare professional specializing in Pharmacist in Tyler, TX. Practice services are available at 3820 STATE HIGHWAY 64 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3820 State Highway 64 W

Tyler, TX 757046924

Telephone 9035973888
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores Texas Llc Facility NPI 1033136288

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
182 Specialists

Practicing in Tyler, TX (18958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 33412

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.

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NUCC Taxonomy Code: 1835P0018X

State License TX 33412

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist Licence
33412 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Rupal Patel

Pharmacist

NPI 1194325415
NPI 1538672670

Doctor of Pharmacy (Pharm.D.)

Ankit Gohel

Pharmacist

NPI 1558961912
NPI 1609479369

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2015

Registered at 3820 STATE HIGHWAY 64 W, TYLER, TX 757046924 (Tel: 9035973888)

📍
Updated Business Mailing Address October 08, 2015

Registered at 3820 STATE HIGHWAY 64 W, TYLER, TX 757046924 (Tel: 9035973888)

👤
Provider Name / Credentials Updated October 08, 2015

Recorded as THEODORE OBIALO, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2015

Pharmacist (License #33412 in TX)

🟢
Initial NPI Registration & Enumeration May 28, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053630012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2010
Last Update: October 08, 2015
Sole Proprietor: No

Mailing Address

3820 State Highway 64 W

Tyler, TX 757046924

Phone: 9035973888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.