Individual provider Active NPI

Jessica Chidera Ihem, RPH., PHARMD.

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1447929674
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP455568 Issued in PA
Practice address
4641-51 Chestnut Street
Philadelphia, PA 19139
Phone
(215) 474-5447
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP455568 PA Primary

Addresses

Primary practice location

4641-51 Chestnut Street
Philadelphia, PA 19139

Mailing address

335 Independence Ave
Hamilton, NJ 08610-5703
Phone (609) 369-4527

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP455568PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1447929674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 INDEPENDENCE AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086105703",
            "telephone_number": "609-369-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641-51 CHESTNUT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19139",
            "telephone_number": "215-474-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEM",
        "first_name": "JESSICA",
        "middle_name": "CHIDERA",
        "credential": "RPH., PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP455568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.