Individual provider Active NPI

Lawrence Ndubuisi Ejindu, B.PHARM

  • Pharmacist
  • Richmond Hill, GA
National Provider Identifier
1578861654
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH023526 Issued in GA
Practice address
9390 Ford Ave
Suite 16
Richmond Hill, GA 31324-6421
Phone
(912) 321-9428
Fax
(912) 459-4404
NPI assigned
Mar 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH023526 GA Primary

Addresses

Primary practice location

9390 Ford Ave
Suite 16
Richmond Hill, GA 31324-6421

Mailing address

9390 Ford Ave
Suite 16
Richmond Hill, GA 31324-6421
Phone (912) 321-9428

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

State licenses

LicenseStateTypeSpecialty
RPH023526GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1578861654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 FORD AVE",
            "address_2": "SUITE 16",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246421",
            "telephone_number": "912-321-9428",
            "fax_number": "912-459-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 FORD AVE",
            "address_2": "SUITE 16",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246421",
            "telephone_number": "912-321-9428",
            "fax_number": "912-459-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJINDU",
        "first_name": "LAWRENCE",
        "middle_name": "NDUBUISI",
        "name_prefix": "Mr.",
        "credential": "B.PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.