Active NPI
Robert Ejike
- Pharmacist
- Atlanta, GA
National Provider Identifier
1114513108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH026042
- Practice address
- 5815 Campbellton Rd SW
Atlanta, GA 30331-8046 - Phone
- (404) 346-4164
- NPI assigned
- Dec 15, 2020
- Last updated
- Dec 15, 2020
- Sex
- Male
- 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 | RPH026042 | GA | Primary |
Addresses
Primary practice location
5815 Campbellton Rd SW
Atlanta, GA 30331-8046
Mailing address
5815 Campbellton Rd SW
Atlanta, GA 30331-8046
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 |
|---|---|---|---|
| RPH026042 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy, L.L.C. | Current | Accepting new patients | |
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
Locations
5815 Campbellton Rd SW
Atlanta, GA 30331
Phone (404) 346-4164
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1114513108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5815 CAMPBELLTON RD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 CAMPBELLTON RD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318046",
"telephone_number": "404-346-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJIKE",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH026042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.