Ene L Ekpo

Primary specialty

PharmacistTaxonomy code 183500000X

License

019816 Issued in GA

Practice address

402 N Wall St
Calhoun, GA 30701-1944

Phone

(678) 644-7002

NPI assigned

Nov 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1639774649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 NEMOURS TRL NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527826",
            "telephone_number": "678-644-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N WALL ST",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011944",
            "telephone_number": "678-644-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKPO",
        "first_name": "ENE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "019816",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "019816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Lynn Dockery, LCSW
• Dr. Leon Gresham
• Marc Mitchell Dyke, CRNA
• Lacey Eaton
• Ugochukwu Ekpechi
• Kathryn Elemento
• Matthew Eller, PT
• Moslem Eskandari
• Christa Evans, OTR/L
• Emele Evans

• Pharmacist in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.