MR. THEODORE C OBIALO (RPH) – Pharmacist, NPI 1053630012

MR. THEODORE C OBIALO (RPH) is a healthcare provider. based in Tyler, Texas. specializing in Pharmacist. They hold the professional credentials RPH. They hold a License No. 33412 (TX). The NPI Number for MR. THEODORE C OBIALO (RPH) is 1053630012

Main info

Male
Name
MR. THEODORE C OBIALO (RPH)
NPI
1053630012
Phone
(903) 597-3888
Address
3820 STATE HIGHWAY 64 W
Enumeration Date
28 May 2010
Last Update Date
8 October 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for MR. THEODORE C OBIALO (RPH)

  • 3820 STATE HIGHWAY 64 W

    TYLER, TX 757046924

    Phone: (903) 597-3888

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75704)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. THEODORE C OBIALO (RPH)?
MR. THEODORE C OBIALO (RPH) — NPI 1053630012 — is the standard way to identify this listing.
Does the file indicate MR. THEODORE C OBIALO (RPH) is practicing under active NPI?
Directory data currently reports MR. THEODORE C OBIALO (RPH) as active.
What taxonomy line describes MR. THEODORE C OBIALO (RPH)?
For research purposes, treat MR. THEODORE C OBIALO (RPH) as Pharmacist in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. THEODORE C OBIALO (RPH) based?
MR. THEODORE C OBIALO (RPH) is tied to Tyler, Texas in the data we show; additional addresses may exist on the full record.
Why does MR. THEODORE C OBIALO (RPH) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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