Chikelue Tagboo Ezekwueche

Primary specialty

PharmacistTaxonomy code 183500000X

License

021838 Issued in GA

Practice address

3209 Deans Bridge Rd
Augusta, GA 30906-4201

Phone

(706) 796-7754

Fax

(706) 796-7818

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1013517051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 ELDERS DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099126",
            "telephone_number": "706-832-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 DEANS BRIDGE RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064201",
            "telephone_number": "706-796-7754",
            "fax_number": "706-796-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEKWUECHE",
        "first_name": "CHIKELUE",
        "middle_name": "TAGBOO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "021838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Physicians and Surgeons of Augusta, PC (Eye Guys)
• Eye Surgery Center of Augusta, LLC
• Eyeguys Ods, LLC
• Eyemart Express LLC
• Eyemart Express, LTD
• Gabriel Okwuchigemezu Ezuma Jr., MD
• F C Ferguson MD PC
• F. Marion Durst III DMD PC
• Robert Andrew Fabich Jr., DNP, CRNA, RN
• Julie Fabregas-Schindler, DO

• Pharmacist in Augusta, GA
• Providers in Augusta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.