Active NPI
Ijeoma Christiana Ugwu
- Pharmacist
- San Antonio, TX
National Provider Identifier
1184220824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56075
- Practice address
- 14900 Jones Maltsberger Rd
San Antonio, TX 78247-3919 - Phone
- (210) 496-9545
- NPI assigned
- Dec 8, 2020
- Last updated
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 56075 | TX | Primary |
Addresses
Primary practice location
14900 Jones Maltsberger Rd
San Antonio, TX 78247-3919
Mailing address
21307 Plaza de Cadiz
San Antonio, TX 78257-1657
Phone (210) 797-6149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56075 | Other | TX | TEXAS STATE PHARMACY BOARD |
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 |
|---|---|---|---|
| 56075 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | 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, 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": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1184220824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21307 PLAZA DE CADIZ",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782571657",
"telephone_number": "210-797-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14900 JONES MALTSBERGER RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782473919",
"telephone_number": "210-496-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGWU",
"first_name": "IJEOMA",
"middle_name": "CHRISTIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "56075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE PHARMACY BOARD",
"identifier": "56075",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.