Uzoma Obinna Mbogu

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60850492 Issued in WA

Practice address

22316 70TH Ave W Ste 5
Mountlake Terrace, WA 98043-2184

Phone

(347) 307-3304

NPI assigned

Jul 18, 2018

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1386120806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22316 70TH AVE W STE 5",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432184",
            "telephone_number": "347-307-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 W Olympic Pl",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98119",
            "country_code": "US",
            "telephone_number": "347-307-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 Aurora Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981093060",
            "country_code": "US",
            "telephone_number": "347-307-3304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBOGU",
        "first_name": "UZOMA",
        "middle_name": "OBINNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60850492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Raniyah Mbecah
• Scott J McCorkell, MD
• Jennifer McGrath, LMHC
• Gregory D McKeever
• Wanda Lafaye McKinney
• Jeannine Meadowcroft, LMP

• Pharmacist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.