NPIMap

Organization Active NPI

Mekagreen Inc

Doing business as mekagreen Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1215335443
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51964 Issued in CA
Legal business name
MEKAGREEN INC
Doing business as
mekagreen Pharmacy
Practice address
1373 W 29TH St
Suite a
Los Angeles, CA 90007-3195
Phone
(323) 643-4240
Fax
(323) 643-4209
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Dr. Jude Emeka Ikegbu, PHARM DNPI 1811217847
Title
Pharmacist
Phone
(323) 643-4240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51964 CA Primary

Addresses

Primary practice location

1373 W 29TH St
Suite a
Los Angeles, CA 90007-3195

Mailing address

1373 W 29TH St
Suite a
Los Angeles, CA 90007-3195
Phone (323) 643-4240

Other identifiers 1

IdentifierTypeStateIssuer
1215335443MedicaidCA

Other names 1

  • mekagreen Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1373 W 29th St
Ste A
Los Angeles, CA 90007
Phone (323) 643-4240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1215335443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 W 29TH ST",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073195",
            "telephone_number": "323-643-4240",
            "fax_number": "323-643-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 W 29TH ST",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073195",
            "telephone_number": "323-643-4240",
            "fax_number": "323-643-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEKAGREEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "IKEGBU",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "EMEKA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "323-643-4240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215335443",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mekagreen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "mekagreen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2022; 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.