Individual provider Active NPI

Chinazaekpere Jennifer Ezeani, PHARMD

  • Pharmacist
  • Torrance, CA
National Provider Identifier
1083289268
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
83461 Issued in CA
Practice address
17213 Yukon Ave Apt G
Torrance, CA 90504-2353
Phone
(424) 222-6502
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 83461 CA Primary

Addresses

Primary practice location

17213 Yukon Ave Apt G
Torrance, CA 90504-2353

Mailing address

17213 Yukon Ave Apt G
Torrance, CA 90504-2353

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

LicenseStateTypeSpecialty
83461CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1083289268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17213 YUKON AVE APT G",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17213 YUKON AVE APT G",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042353",
            "telephone_number": "424-222-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEANI",
        "first_name": "CHINAZAEKPERE",
        "middle_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.