Ahmadu Igietsu

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0093044 Issued in TX

Practice address

1411 E. Abram St Ste D
Arlington, TX 76010

Phone

(817) 300-3640

Fax

(817) 277-4406

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Igietsu Medical &General Merchandize Supplies

  • Durable Medical Equipment & Medical Supplies
  • Arlington, TX
  • NPI 1578733440
  NPD (past) Authorized official
• Igietsu Medical General Merchandize/Supplies

  • Durable Medical Equipment & Medical Supplies
  • Arlington, TX
  • NPI 1396982401
  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1356492805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182158",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760962158",
            "telephone_number": "817-300-3640",
            "fax_number": "817-277-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E. ABRAM ST STE D",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76010",
            "telephone_number": "817-300-3640",
            "fax_number": "817-277-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGIETSU",
        "first_name": "AHMADU",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0093044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Specialty Pharmacy, LLC (Professional Pharmacy Plus)
• Olusegun D Idowu
• Emiziah Ifeanacho
• Igietsu Medical &General Merchandize Supplies
• Igietsu Medical General Merchandize/Supplies
• Lydia Ihazah
• Ihde Surgical Group, PA
• Safia Abdulle Iid, SOLE PROPRIETOR
• Evelyn Chika Ike-Thomson, FNP, AGACNP, DNP
• Georgiana Ikeneme

• Durable Medical Equipment & Medical Supplies in Arlington, TX
• Providers in Arlington, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.