Active NPI
Jameson Obidinma Ihuefo
- Pharmacist
- El Dorado, AR
National Provider Identifier
1043815558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15231
- Practice address
- 2730 N West Ave
El Dorado, AR 71730-3124 - Phone
- (870) 862-2128
- NPI assigned
- Dec 2, 2020
- Last updated
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD15231 | AR | Primary |
Addresses
Primary practice location
2730 N West Ave
El Dorado, AR 71730-3124
Mailing address
525 Meadow LN Apt 235
El Dorado, AR 71730-1903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD15231 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1043815558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 MEADOW LN APT 235",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717301903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 N WEST AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717303124",
"telephone_number": "870-862-2128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IHUEFO",
"first_name": "JAMESON",
"middle_name": "OBIDINMA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
- Stephen Howard, BS
- Tamara D Howell
- Hudson Memorial Nursing Home
- Jenna Huitt, PHARMD
- Edwina F. Hunter, D.D.S.
- Integrity 1St Community Living LLC
- Integrity 1St Home Care LLC
- Integrity Tele Services PLLC (Integrity Telehealth)
- Interventional and Diagnostic Radiology of South Arkansas, P.a.
- Tristal T Island, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.