Individual provider Active NPI

Olisaemeka Arinzechukwu Igweze

  • Pharmacist
  • La Mirada, CA
National Provider Identifier
1124990478
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
90955 Issued in CA
Practice address
11669 Gayview Dr
La Mirada, CA 90638-1107
Phone
(562) 274-5964
NPI assigned
Sep 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 90955 CA Primary

Addresses

Primary practice location

11669 Gayview Dr
La Mirada, CA 90638-1107

Mailing address

11669 Gayview Dr
La Mirada, CA 90638-1107

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

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1124990478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11669 GAYVIEW DR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11669 GAYVIEW DR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381107",
            "telephone_number": "562-274-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGWEZE",
        "first_name": "OLISAEMEKA",
        "middle_name": "ARINZECHUKWU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "90955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.