Active NPI
Ijeoma Iloh, PHARMD
- Pharmacist
- Bartlett, TN
National Provider Identifier
1063007656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000036981
- Practice address
- 8400 US Highway 64
Bartlett, TN 38133-4187 - Phone
- (901) 382-6101
- NPI assigned
- Mar 4, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 0000036981 | TN | Primary |
Addresses
Primary practice location
8400 US Highway 64
Bartlett, TN 38133-4187
Mailing address
1260 Marsh Springs LN
Collierville, TN 38017-3948
Phone (347) 423-2309
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000036981 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1063007656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 MARSH SPRINGS LN",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380173948",
"telephone_number": "347-423-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 US HIGHWAY 64",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334187",
"telephone_number": "901-382-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILOH",
"first_name": "IJEOMA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000036981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.