Active NPI
Elena Ugwoke
- Pharmacist
- Elkhart, IN
National Provider Identifier
1386244390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26026434A
- Practice address
- 175 County Road 6 W
Elkhart, IN 46514-5557 - Phone
- (574) 266-7459
- Fax
- (574) 266-7461
- NPI assigned
- Oct 28, 2020
- Last updated
- Oct 28, 2020
- Sex
- Female
- 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 | 26026434A | IN | Primary |
Addresses
Primary practice location
175 County Road 6 W
Elkhart, IN 46514-5557
Mailing address
14268 Fox Chase CT
Granger, IN 46530-4951
Phone (574) 387-9706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26026434A | Other | IN | PHARMACY |
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 |
|---|---|---|---|
| 26026434A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | 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.
-
dba Wal-Mart Pharmacy 10-2679
- Community/Retail Pharmacy
- Elkhart, IN
- NPI 1013934231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1386244390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14268 FOX CHASE CT",
"city": "GRANGER",
"state": "IN",
"postal_code": "465304951",
"telephone_number": "574-387-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 COUNTY ROAD 6 W",
"city": "ELKHART",
"state": "IN",
"postal_code": "465145557",
"telephone_number": "574-266-7459",
"fax_number": "574-266-7461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGWOKE",
"first_name": "ELENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026434A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "26026434A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.