Kingsley Iwudibia, PHARMD

Primary specialty

Oncology PharmacistTaxonomy code 1835X0200X

License

RPH028300 Issued in GA

Practice address

371 E Paces Ferry Rd NE Ste 640
Atlanta, GA 30305-2372

Phone

(470) 377-6400

NPI assigned

Aug 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Biocare Oncology and Therapeutics, LLC

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1225746894
  NPD Authorized official

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1689301970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 E PACES FERRY RD NE STE 640",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052372",
            "telephone_number": "470-377-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 E PACES FERRY RD NE STE 640",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052372",
            "telephone_number": "470-377-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUDIBIA",
        "first_name": "KINGSLEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "GA",
            "license": "RPH028300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Taro Iwamoto, MD
• Sally Williams Iwamoto, M.D.
• Isabella Iwanicki
• Todd William Iwanicki, MD
• Kathryn Iwasaki, PA-C
• Violet I Iyahen
• Sampada Iyengar
• Srikant Iyer, MD
• Jason Iyobhebhe
• Maria Andreina Izarra, D.M.D.

• Oncology Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Oncology Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.