Active NPI
Felicia Marieta Udogu, PHARMD
- Pharmacist
- Riverview, FL
National Provider Identifier
1376026922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS56771
- Practice address
- 10645 Egret Haven LN
Riverview, FL 33578-3361 - Phone
- (813) 956-8201
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS56771 | FL | Primary |
Addresses
Primary practice location
10645 Egret Haven LN
Riverview, FL 33578-3361
Mailing address
10645 Egret Haven LN
Riverview, FL 33578-3361
Phone (813) 956-8201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A1048364803 | Other | FL | AVMED |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS56771 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1376026922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10645 EGRET HAVEN LN",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783361",
"telephone_number": "813-956-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10645 EGRET HAVEN LN",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783361",
"telephone_number": "813-956-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDOGU",
"first_name": "FELICIA",
"middle_name": "MARIETA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS56771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "A1048364803",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.