Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ikenna Modebelu

Individual provider Pharmacist · NPI 1104420397

Ikenna Modebelu is a Pharmacist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Massachusetts and Texas.

Licensed in
MA, TX
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5201 Golden Triangle Blvd
Fort Worth, TX 76244-4468
Phone: (817) 741-4330
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 57121 (TX)
Pharmacist Taxonomy 183500000X · Licence PH238079 (MA)

Record details

NPI number1104420397
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 28, 2020
Last updated in NPPESNovember 28, 2020
Certification dateNovember 28, 2020
Mailing address9617 Wexley Way, Fort Worth, TX 76131-1486

Other providers in Fort Worth