Individual provider Active NPI

Ngozi U Ogbonna-Erondu, PHARMD

  • Pharmacist
  • Simi Valley, CA
National Provider Identifier
1588097356
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
68829 Issued in CA
Practice address
5007 Westwood St
Simi Valley, CA 93063-0230
Phone
(732) 492-5416
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68829 CA Primary
Pharmacist 183500000X R27948 NJ
Pharmacist 183500000X 17436 IA

Addresses

Primary practice location

5007 Westwood St
Simi Valley, CA 93063-0230

Mailing address

5007 Westwood St
Simi Valley, CA 93063-0230
Phone (732) 492-5416

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

LicenseStateTypeSpecialty
68829CAMDPharmacist
17436IAMDPharmacist
R27948NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1588097356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 WESTWOOD ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930630230",
            "telephone_number": "732-492-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 WESTWOOD ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930630230",
            "telephone_number": "732-492-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONNA-ERONDU",
        "first_name": "NGOZI",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "68829",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "R27948",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "17436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.