Organization Active NPI

Integrated Health Solutions LLC

  • Managed Care Organization Pharmacy
  • Mableton, GA
National Provider Identifier
1316465859
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
Legal business name
INTEGRATED HEALTH SOLUTIONS LLC
Practice address
1284 Glandor CT SE
Mableton, GA 30126-2755
Phone
(678) 576-4708
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Chibugo Ejisoby-Nwosu, PHARMDNPI 1265952329
Title
Pharmacist Consultant/ Director
Phone
(678) 576-4708

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
Managed Care Organization Pharmacy 3336M0003X Primary

Addresses

Primary practice location

1284 Glandor CT SE
Mableton, GA 30126-2755

Mailing address

1284 Glandor CT SE
Mableton, GA 30126-2755
Phone (678) 576-4708

National Provider Directory

National Provider Directory

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": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316465859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 GLANDOR CT SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262755",
            "telephone_number": "678-576-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 GLANDOR CT SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262755",
            "telephone_number": "678-576-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EJISOBY-NWOSU",
        "authorized_official_first_name": "CHIBUGO",
        "authorized_official_title_or_position": "PHARMACIST CONSULTANT/ DIRECTOR",
        "authorized_official_telephone_number": "678-576-4708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.