Sunday Ijeoma, PHARM D
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Austell, GA
NPI 1265714950 · NPPES record last updated Dec 21, 2022
Key facts
- NPI
- 1265714950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- RPH016118 (GA)
- Practice address
- 4120 Austell Rd
Austell, GA 30106-1841 - Phone
- (770) 941-2918
- Fax
- (770) 941-5841
- NPI assigned
- Sep 19, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH016118 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH016118 | GA | Yes |
Addresses
Primary practice location
4120 Austell Rd
Austell, GA 30106-1841
Mailing address
4120 Austell Rd
Austell, GA 30106-1841
Phone (770) 941-2918
Other providers in Austell, GA
- Lynn James Hyland
- Aristidis Iatridis
- Delores Ijeoma Ibetoh
- Idaluz LLC
- Olatunde Idowu
- Eno Bassey Ikpeme
- Saadia Ilyas
- In Home Health LLC
- Independent Physical Therapy of Georgia, LLC
- Christa H Ingle
All providers in Austell, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.