NPI age
16 years
Enumerated 2010-05-28
● Active
Type 1 · Individual
MR. Theodore C Obialo, RPH
Obialo is 1 of 176 pharmacist providers in Tyler and 1 of 18509 in Texas.
Primary specialty
Pharmacist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-10-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 18509 active pharmacist providers in Texas.
NPI age
16 years
↑ 9 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 7% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-05Enumerated in NPPES
2010
2026
Where they practice
Practice location
3820 State Highway 64 W
Tyler, TX 757046924
Mailing address
3820 State Highway 64 W
Tyler, TX 757046924
Specialties
-
Pharmacist PrimaryAn 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,...
-
PharmacistPharmacist 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 33412 | PHARMACIST LICENCE |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new pharmacist providers have been added in Tyler in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.