Agbomma Juliet Epoh, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

67551 Issued in CA

Practice address

22930 S Western Ave
Torrance, CA 90501

Phone

(310) 517-1851

Fax

(310) 517-0368

NPI assigned

Apr 16, 2007

Reactivated

Dec 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Torrance, CA
  • NPI 1831104124
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1134344203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22930 S WESTERN AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-517-1851",
            "fax_number": "310-517-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22930 S WESTERN AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-517-1851",
            "fax_number": "310-517-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPOH",
        "first_name": "AGBOMMA",
        "middle_name": "JULIET",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-12-27",
        "deactivation_date": "2010-03-26",
        "reactivation_date": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "65127",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "67551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scotty Enyart
• Eo Johnson, California Dental Corporation
• Epione Hospice, Inc.
• Epk Home Health Service
• Epk Home Health Services LLC
• Adam Eredia, DMD
• Ergo Sum Genomics
• Alyssa Erguiza
• Eric a. Lazcano M.D., Inc.
• Eric B Ige, OD, Inc.

• Pharmacist in Torrance, CA
• Providers in Torrance, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.