Okwudili B Ahiligwo, B.PHARM
Individual provider Active NPI Pharmacist · Chico, CA
NPI 1508072919 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1508072919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 48687 (CA)
- Practice address
- 1200 Mangrove Ave Ste Mangrove
Chico, CA 95926-3558 - Phone
- (530) 891-0388
- Fax
- (530) 891-0324
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48687 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bidwell Pharmacy and Medical Supply Inc | Current | Accepting new patients | |
| Bidwell Pharmacy and Medical Supply Inc | Current | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 48687 | CA | Yes |
Addresses
Primary practice location
1200 Mangrove Ave Ste Mangrove
Chico, CA 95926-3558
Mailing address
1200 Mangrove Ave Ste Mangrove
Chico, CA 95926-3558
Phone (530) 891-0388
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.