Individual provider Active NPI

Tony Ikechukwu Ejinwa, PHARMACY TECH

  • Pharmacy Technician
  • Williamsburg, VA
National Provider Identifier
1689379380
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
0230012532 Issued in VA
Practice address
4501 News Rd
Williamsburg, VA 23188-7803
Phone
(757) 220-1287
Fax
(757) 220-9056
NPI assigned
Apr 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 0230012532 VA Primary

Addresses

Primary practice location

4501 News Rd
Williamsburg, VA 23188-7803

Mailing address

4501 News Rd
Williamsburg, VA 23188-7803
Phone (757) 220-1287

Other names 1

  • Tony Ikechukwu Ejinwa Professional name

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

LicenseStateTypeSpecialty
0230012532VAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Eckerd Corporation PastSince Apr 9, 2023 Accepting new patients
Eckerd Corporation PastSince Apr 9, 2023 Accepting new patients

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1689379380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 NEWS RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887803",
            "telephone_number": "757-220-1287",
            "fax_number": "757-220-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 NEWS RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887803",
            "telephone_number": "757-220-1287",
            "fax_number": "757-220-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJINWA",
        "first_name": "TONY",
        "middle_name": "IKECHUKWU",
        "name_prefix": "Mr.",
        "credential": "PHARMACY TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "VA",
            "license": "0230012532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "EJINWA",
            "middle_name": "IKECHUKWU",
            "credential": "PHARM TECH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.