Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891549911 Individual Practitioner Female Practitioner

Queenette Chimeucheya Otamiri

Pharmacist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Queenette Otamiri is a registered healthcare professional specializing in Pharmacist in Tyler, TX. Practice services are available at 1620 S BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1620 S Broadway Ave

Tyler, TX 757014260

Telephone 9035330367
Fax 9035331063
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1982845509

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

CMS Verified: 2024-04-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 73872

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1215263959

Doctor of Pharmacy (Pharm.D.)

NPI 1548090244

Doctor of Pharmacy (Pharm.D.)

NPI 1669086831
NPI 1821399726

Registered Pharmacist, Doctor of Pharmacy (Pharm.D.)

Udochukwu Ogu

Pharmacist

NPI 1932879962
NPI 1972156750

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 15, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2024

Registered at 1620 S BROADWAY AVE, TYLER, TX 757014260 (Tel: 9035330367)

📍
Updated Business Mailing Address April 15, 2024

Registered at 1620 S BROADWAY AVE, TYLER, TX 757014260 (Tel: 9035330367)

👤
Provider Name / Credentials Updated April 15, 2024

Recorded as QUEENETTE OTAMIRI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2024

Pharmacist (License #73872 in TX)

🟢
Initial NPI Registration & Enumeration April 15, 2024

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: 1891549911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2024
Last Update: April 15, 2024
Sole Proprietor: Yes

Mailing Address

1620 S Broadway Ave

Tyler, TX 757014260

Phone: 9035330367

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.