Active NPI
Integrated Health Solutions LLC
- Managed Care Organization Pharmacy
- Mableton, GA
National Provider Identifier
1316465859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Managed Care Organization Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chibugo Ejisoby-Nwosu, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Smyrna, GA
- NPI 1265952329
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.