Active NPI
Mba Ukoha Kalu, RPH
- Pharmacist
- Lithonia, GA
National Provider Identifier
1578710497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH016628
- Practice address
- 6322 Windy Ridge Way
Lithonia, GA 30058-6630 - Phone
- (404) 625-3566
- Fax
- (404) 297-4057
- NPI assigned
- Aug 21, 2008
- Last updated
- Aug 21, 2008
- Sex
- Male
- 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 | RPH016628 | GA | Primary |
Addresses
Primary practice location
6322 Windy Ridge Way
Lithonia, GA 30058-6630
Mailing address
6322 Windy Ridge Way
Lithonia, GA 30058-6630
Phone (404) 625-3566
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH016628 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pci Pharmacy Inc | Current | Accepting new patients | |
| Pci Pharmacy Inc | Current | Accepting new patients | |
| Presidential Care Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Long Term Care Pharmacy
- Scottdale, GA
- NPI 1124916556
-
- Home Health Agency
- Lithonia, GA
- NPI 1285974741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1578710497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6322 WINDY RIDGE WAY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300586630",
"telephone_number": "404-625-3566",
"fax_number": "404-297-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6322 WINDY RIDGE WAY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300586630",
"telephone_number": "404-625-3566",
"fax_number": "404-297-4057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALU",
"first_name": "MBA",
"middle_name": "UKOHA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH016628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Stonecrest)
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Panola)
- Kaizen Strategic Group
- Kalcare Health Care LLC
- Michelle Oluwatobi Kalejaiye, MD
- Farhad Kapadia, O.D.
- Karizma Consultants LLC
- Erika Kehrt, OD
- Phillip Justin Kelly
- Kelda Marie Kemp, RN, MSN, ACNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.