Individual provider Active NPI

Ivy Nwogu, PHARMD, BCPS

  • Ambulatory Care Pharmacist
  • Greensboro, NC
National Provider Identifier
1437800265
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
29856 Issued in NC
Practice address
1125 N Church St
Greensboro, NC 27401-1007
Phone
(336) 832-7462
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 29856 NC Primary

Addresses

Primary practice location

1125 N Church St
Greensboro, NC 27401-1007

Mailing address

1014 Grays Land CT Apt 824
Kernersville, NC 27284-0056
Phone (832) 623-1514

Other practice location 1

1126 N Church St Ste 300
Greensboro, NC 27401-1037
Phone (336) 938-0670

Other practice location 2

201 E Wendover Ave
Greensboro, NC 27401-1205
Phone (336) 832-8035

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

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1437800265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 GRAYS LAND CT APT 824",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272840056",
            "telephone_number": "832-623-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011007",
            "telephone_number": "336-832-7462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 N Church St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011037",
            "country_code": "US",
            "telephone_number": "336-938-0670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011205",
            "country_code": "US",
            "telephone_number": "336-832-8035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOGU",
        "first_name": "IVY",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NC",
            "license": "29856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.