Active NPI
Kelechi Ndiribe Camille Ukegbu, PHARMD
- Pharmacist
- Macon, GA
National Provider Identifier
1497535652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031996
- Practice address
- 1271 Gray Hwy
Macon, GA 31211-1919 - Phone
- (478) 743-6979
- NPI assigned
- Oct 4, 2023
- 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 | RPH031996 | GA | Primary |
Addresses
Primary practice location
1271 Gray Hwy
Macon, GA 31211-1919
Mailing address
508 Mullen CT
Locust Grove, GA 30248-2500
Phone (615) 491-6022
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031996 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1497535652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 MULLEN CT",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302482500",
"telephone_number": "615-491-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1271 GRAY HWY",
"city": "MACON",
"state": "GA",
"postal_code": "312111919",
"telephone_number": "478-743-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UKEGBU",
"first_name": "KELECHI",
"middle_name": "NDIRIBE CAMILLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-04",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.