Individual provider Active NPI

Chinedu Eliogu

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1235488479
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49741 Issued in FL
Practice address
10207 Cypress Links Dr
Tampa, FL 33647-3195
Phone
(813) 230-9229
NPI assigned
Sep 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49741 FL Primary

Addresses

Primary practice location

10207 Cypress Links Dr
Tampa, FL 33647-3195

Mailing address

10207 Cypress Links Dr
Tampa, FL 33647-3195

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

LicenseStateTypeSpecialty
PS49741FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1235488479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10207 CYPRESS LINKS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10207 CYPRESS LINKS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473195",
            "telephone_number": "813-230-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIOGU",
        "first_name": "CHINEDU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.