Organization Active NPI

Ijeoma Obinwanne

  • Community/Retail Pharmacy
  • El Monte, CA
National Provider Identifier
1659689743
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50449 Issued in CA
Legal business name
IJEOMA OBINWANNE
Practice address
10808 Ramona Blvd
El Monte, CA 91731-2628
Phone
(626) 579-6277
Fax
(626) 579-6739
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Ijeoma Obinwanne
Title
Pharmacist
Phone
(626) 579-6277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY50449 CA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

10808 Ramona Blvd
El Monte, CA 91731-2628

Mailing address

10808 Ramona Blvd
El Monte, CA 91731-2628
Phone (626) 579-6277

Other identifiers 1

IdentifierTypeStateIssuer
2127734OtherPK

Other names 1

  • EL MONTE COMMUNITY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1659689743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 RAMONA BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312628",
            "telephone_number": "626-579-6277",
            "fax_number": "626-579-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 RAMONA BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312628",
            "telephone_number": "626-579-6277",
            "fax_number": "626-579-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJEOMA OBINWANNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "OBINWANNE",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "626-579-6277"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50449",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127734",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL MONTE COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.