IndividualActive
Dieudonne Fomboh
NPI 1568896702 · Pharmacist · Palestine, TX
Dieudonne Fomboh is a Pharmacist provider in Palestine, TX (NPI 1568896702).
Provider details
- NPI number
- 1568896702
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 53837 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2201 S Loop 256
Palestine, TX 75801-4701
Phone: (903) 723-4705
Fax: (903) 723-4703
Street-level locationGet directions
Mailing address
2201 S Loop 256
Palestine, TX 75801-4701
Registry dates
- Enumerated
- 2013-08-23
- Last updated
- 2021-08-09
- Certified
- 2021-08-09
Frequently asked questions
- What is Dieudonne Fomboh's NPI number?
- Dieudonne Fomboh's National Provider Identifier (NPI) is 1568896702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dieudonne Fomboh's specialty?
- Dieudonne Fomboh is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Dieudonne Fomboh located?
- Dieudonne Fomboh's practice location on file with NPPES is 2201 S Loop 256, Palestine, TX 75801-4701.
- What is Dieudonne Fomboh's phone number?
- The practice phone number listed in the NPPES registry for Dieudonne Fomboh is (903) 723-4705.
- Is Dieudonne Fomboh's NPI active?
- Yes — Dieudonne Fomboh's NPI (1568896702) is active in the NPPES registry as of the last update on 2021-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.