Active NPI
Michael Ilodigwe, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1124318142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17868
- Practice address
- 3250 Freedom Dr
Charlotte, NC 28208-2817 - Phone
- (302) 559-2726
- NPI assigned
- Apr 11, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17868 | NC | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 17686 | NC | |
| Pharmacotherapy Pharmacist | 1835P1200X | 17868 | NC |
Addresses
Primary practice location
3250 Freedom Dr
Charlotte, NC 28208-2817
Mailing address
9410 Otter Creek Dr Apt a
Charlotte, NC 28277-1462
Phone (302) 559-2726
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 |
|---|---|---|---|
| 17868 | NC | MD | Pharmacist |
| 17686 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stmichaels Healthcare Services | Current | Accepting new patients | |
| Docs Pharmacy Inc | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1437596616
-
- Mental Illness Community Based Residential Treatment Facility
- Charlotte, NC
- NPI 1184155954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1124318142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9410 OTTER CREEK DR APT A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282771462",
"telephone_number": "302-559-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 FREEDOM DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282082817",
"telephone_number": "302-559-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILODIGWE",
"first_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17868",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "17686",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "17868",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.