Active NPI
Ijeoma Anthonia Eze
- Pharmacist
- Bronx, NY
National Provider Identifier
1376725317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046630-1
- Practice address
- 1179 E 233Rd St
Bronx, NY 10466-3386 - Phone
- (718) 324-3668
- Fax
- (718) 324-8859
- NPI assigned
- Dec 1, 2007
- 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 | 046630-1 | NY | Primary |
Addresses
Primary practice location
1179 E 233Rd St
Bronx, NY 10466-3386
Mailing address
25 Wachs Way
Valley Cottage, NY 10989-2526
Phone (845) 267-8564
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046630-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266710400000",
"number": "1376725317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WACHS WAY",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892526",
"telephone_number": "845-267-8564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 E 233RD ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104663386",
"telephone_number": "718-324-3668",
"fax_number": "718-324-8859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZE",
"first_name": "IJEOMA",
"middle_name": "ANTHONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-01",
"last_updated": "2010-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046630-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.