CB & Nikky Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CB & NIKKY INC

Doing business as

Apex Pharmacy

Practice address

1240 Highway 54 W
BLDG 100,Ste101
Fayetteville, GA 30214-4557

Phone

(770) 719-9050

NPI assigned

Mar 30, 2011

Last updated

Jul 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chris Ezeagwu

Title

Pharmacist in Charge

Phone

(770) 719-9050

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• APEX PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edith Ezeagwu

  • Pharmacist
  • Riverdale, GA
  • NPI 1922307461
  NPD

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1245529262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W",
            "address_2": "BLDG 100,STE101",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144557",
            "telephone_number": "770-719-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W",
            "address_2": "BLDG 100,STE101",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144557",
            "telephone_number": "770-719-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB & NIKKY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "EZEAGWU",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "770-719-9050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1161241",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APEX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.