Individual provider Active NPI

Patrick Uzodike, PHARM D, BSC

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Evans, GA
National Provider Identifier
1295087633
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RPH022952 Issued in GA
Practice address
607 Ronald Reagan Dr
Suite 269
Evans, GA 30809-7700
Phone
(678) 663-1177
NPI assigned
Oct 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15441 MD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH022952 GA Primary

Addresses

Primary practice location

607 Ronald Reagan Dr
Suite 269
Evans, GA 30809-7700

Mailing address

607 Ronald Reagan Dr
Suite 269
Evans, GA 30809-7700
Phone (678) 663-1177

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

LicenseStateTypeSpecialty
15441MDMDPharmacist
RPH022952GAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1295087633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 RONALD REAGAN DR",
            "address_2": "SUITE 269",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308097700",
            "telephone_number": "678-663-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 RONALD REAGAN DR",
            "address_2": "SUITE 269",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308097700",
            "telephone_number": "678-663-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZODIKE",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PHARM D, BSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "15441",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH022952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.