Active NPI
Iheke O Ekeya, PHARM.D
- Pharmacist
- Vancouver, WA
National Provider Identifier
1669746780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60215211
- Practice address
- Peacehealth SW Medical Center
400 NE Mother Joseph PL
Vancouver, WA 98664 - Phone
- (360) 514-7654
- Fax
- (360) 514-3146
- NPI assigned
- Mar 7, 2012
- Reactivated
- May 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH0012681 | OR | |
| Pharmacist | 183500000X | PH60215211 | WA | Primary |
Addresses
Primary practice location
Peacehealth SW Medical Center
400 NE Mother Joseph PL
Vancouver, WA 98664
Mailing address
717 NW 120TH St
Vancouver, WA 98685-2495
Phone (503) 473-6316
Other names 1
- Ike O Ekeya
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH0012681 | OR | MD | Pharmacist |
| PH60215211 | WA | MD | Pharmacist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1669746780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 NW 120TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986852495",
"telephone_number": "503-473-6316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PEACEHEALTH SW MEDICAL CENTER",
"address_2": "400 NE MOTHER JOSEPH PL",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98664",
"telephone_number": "360-514-7654",
"fax_number": "360-514-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKEYA",
"first_name": "IHEKE",
"middle_name": "O",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-07",
"last_updated": "2022-07-21",
"certification_date": "2021-05-18",
"deactivation_date": "2021-01-25",
"reactivation_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0012681",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60215211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IKE",
"last_name": "EKEYA",
"middle_name": "O",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.