Active NPI
Chijioke John Ifedili, RPH
- Pharmacist
- Aberdeen, NC
National Provider Identifier
1376268672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31677
- Practice address
- 1550 N Sandhills Blvd
Aberdeen, NC 28315-2304 - Phone
- (910) 944-0438
- NPI assigned
- Oct 10, 2022
- Last updated
- Oct 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 31677 | NC | Primary |
Addresses
Primary practice location
1550 N Sandhills Blvd
Aberdeen, NC 28315-2304
Mailing address
186 Diamond Ridge Ave
Canton, GA 30114-7126
Phone (404) 324-7866
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ifedilichijioke9@gmail.com | Direct |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31677 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1376268672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 DIAMOND RIDGE AVE",
"city": "CANTON",
"state": "GA",
"postal_code": "301147126",
"telephone_number": "404-324-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N SANDHILLS BLVD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152304",
"telephone_number": "910-944-0438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IFEDILI",
"first_name": "CHIJIOKE",
"middle_name": "JOHN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "31677",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ifedilichijioke9@gmail.com",
"affiliation": "N",
"endpointDescription": "buisness email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Ms word",
"address_1": "186 Diamond Ridge Ave",
"city": "Canton",
"state": "GA",
"country_code": "US",
"postal_code": "301147126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.