Individual provider Active NPI

Remigius Mgbojirikwe, R.PH, PHARM.D

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1154790194
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 43754 Issued in CA
Practice address
1704 W. Manchester Blvd Ste 100
Los Angeles, CA 90047-3056
Phone
(323) 753-1333
Fax
(323) 753-1335
NPI assigned
Sep 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 43754 CA Primary

Addresses

Primary practice location

1704 W. Manchester Blvd Ste 100
Los Angeles, CA 90047-3056

Mailing address

3627 Manhattan Beach Blvd
Lawndale, CA 90260-2410
Phone (310) 403-1693

Other names 1

  • Remy Mgbojirikwe Other name

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH 43754CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Morningside Medical Pharmacy,Inc Current Accepting new patients
Morningside Medical Pharmacy, Inc. Current Accepting new patients

Locations

1704 W Manchester Ave
Ste 100
Los Angeles, CA 90047
Phone (323) 753-1333

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.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1154790194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 MANHATTAN BEACH BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602410",
            "telephone_number": "310-403-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W. MANCHESTER BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473056",
            "telephone_number": "323-753-1333",
            "fax_number": "323-753-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MGBOJIRIKWE",
        "first_name": "REMIGIUS",
        "credential": "R.PH, PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 43754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REMY",
            "last_name": "MGBOJIRIKWE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.