Active NPI
Ike Uzodinma
- Managed Care Organization Pharmacy
- Atlanta, GA
National Provider Identifier
1598617052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Managed Care Organization Pharmacy
- License
- RPH015935
- Practice address
- 920 Dannon VW SW Ste 3204
Atlanta, GA 30331-2161 - Phone
- (404) 210-5109
- NPI assigned
- Feb 9, 2026
- Last updated
- Feb 9, 2026
- 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 |
|---|---|---|---|---|
| Managed Care Organization Pharmacy | 3336M0003X | RPH015935 | GA | Primary |
Addresses
Primary practice location
920 Dannon VW SW Ste 3204
Atlanta, GA 30331-2161
Mailing address
920 Dannon VW SW Ste 3204
Atlanta, GA 30331-2161
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH015935 | GA | MD | Managed Care Organization Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1598617052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 DANNON VW SW STE 3204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 DANNON VW SW STE 3204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312161",
"telephone_number": "404-210-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UZODINMA",
"first_name": "IKE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": "GA",
"license": "RPH015935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.