Princess C Ike, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

65315 Issued in TX

Practice address

14220 Northbrook Dr Ste 100B
San Antonio, TX 78232-5045

Phone

(210) 403-0429

NPI assigned

May 5, 2020

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1023639655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14220 NORTHBROOK DR STE 100B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325045",
            "telephone_number": "210-403-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14220 NORTHBROOK DR STE 100B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325045",
            "telephone_number": "210-403-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKE",
        "first_name": "PRINCESS",
        "middle_name": "C",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "65315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ijna Nursing Services
• Mary Ikamba
• Ikare Mood Trauma Recovery Clinic
• Ikare Pharmacy SW LLC
• Agatha Ike
• Daniel C Ikejimba, LPC-A
• Andrea K Iken Tennison, MD
• Robert Paul Ikerd, M.D.
• Ikiru Hospice LLC
• Ikiru, PLLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.