IndividualActive
Theodore Obialo, RPH
NPI 1053630012 · Pharmacist · Tyler, TX
Theodore Obialo, RPH is a Pharmacist provider in Tyler, TX (NPI 1053630012).
Provider details
- NPI number
- 1053630012
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 33412 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3820 State Highway 64 W
Tyler, TX 75704-6924
Phone: (903) 597-3888
Street-level locationGet directions
Mailing address
3820 State Highway 64 W
Tyler, TX 75704-6924
Registry dates
- Enumerated
- 2010-05-28
- Last updated
- 2015-10-08
Frequently asked questions
- What is Theodore Obialo's NPI number?
- Theodore Obialo's National Provider Identifier (NPI) is 1053630012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Obialo's specialty?
- Theodore Obialo is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Theodore Obialo located?
- Theodore Obialo's practice location on file with NPPES is 3820 State Highway 64 W, Tyler, TX 75704-6924.
- What is Theodore Obialo's phone number?
- The practice phone number listed in the NPPES registry for Theodore Obialo is (903) 597-3888.
- Is Theodore Obialo's NPI active?
- Yes — Theodore Obialo's NPI (1053630012) is active in the NPPES registry as of the last update on 2015-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.