Active NPI
Ifeoma Ugwu
- Pharmacist
- Montclair, CA
National Provider Identifier
1689719957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52199
- Practice address
- 5153 Holt Blvd
Suite a-6
Montclair, CA 91763-4820 - Phone
- (909) 626-6300
- Fax
- (909) 626-6322
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 52199 | CA | Primary |
Addresses
Primary practice location
5153 Holt Blvd
Suite a-6
Montclair, CA 91763-4820
Mailing address
5153 Holt Blvd
Suite a-6
Montclair, CA 91763-4820
Phone (909) 626-6300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 52199 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orie Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274400000000",
"number": "1689719957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5153 HOLT BLVD",
"address_2": "SUITE A-6",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917634820",
"telephone_number": "909-626-6300",
"fax_number": "909-626-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5153 HOLT BLVD",
"address_2": "SUITE A-6",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917634820",
"telephone_number": "909-626-6300",
"fax_number": "909-626-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGWU",
"first_name": "IFEOMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2010-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "52199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.