Active NPI
Gloria Ikuomola, PHARMD
- Pharmacist
- Huntersville, NC
National Provider Identifier
1194423442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31884
- Practice address
- 11145 Bryton Town Center Dr
Huntersville, NC 28078-7215 - Phone
- (704) 977-2043
- NPI assigned
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 31884 | NC | Primary |
Addresses
Primary practice location
11145 Bryton Town Center Dr
Huntersville, NC 28078-7215
Mailing address
271 Perennial Dr NW
Concord, NC 28027-7265
Other names 1
- Dr. Gloria Famoyegun
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 |
|---|---|---|---|
| 31884 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Walmart Pharmacy 10-4594
- Community/Retail Pharmacy
- Cherryville, NC
- NPI 1235310806
-
dba WalMart Pharmacy 10-5879
- Community/Retail Pharmacy
- Huntersville, NC
- NPI 1487996351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1194423442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 PERENNIAL DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280277265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11145 BRYTON TOWN CENTER DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787215",
"telephone_number": "704-977-2043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKUOMOLA",
"first_name": "GLORIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-16",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "31884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "FAMOYEGUN",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntersville, NC
- Linda Brammer Hutchings, PT
- Beverly Kyle Hyde, LCSW
- Icare Health Group, PLLC
- Megan Ifebuzo, BCBA
- Ignite Huntersville LLC (Ignite Medical Resort Huntersville)
- Joy Ilabor
- Impact Child Behavioral Services, Inc. (Kingdom Kids Impact Child Behavioral Services)
- Independent Nephrology Services, Inc.
- Inner Compass Counseling Coaching and Consulting PLLC
- Inner Peace Counseling Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.