Active NPI
Gladys Ikodiya Agwu
- Pharmacist
- Whippany, NJ
National Provider Identifier
1750604641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28R103195000
- Practice address
- 121 Algonquin Pkwy
Whippany, NJ 07981-1601 - Phone
- (973) 503-1500
- NPI assigned
- Mar 5, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 28R103195000 | NJ | Primary |
Addresses
Primary practice location
121 Algonquin Pkwy
Whippany, NJ 07981-1601
Mailing address
105 Milligan PL
South Orange, NJ 07079-1927
Phone (973) 763-0098
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 |
|---|---|---|---|
| 28R103195000 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnicare of New York, LLC | 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.
-
- Long Term Care Pharmacy
- Rochester, NY
- NPI 1811009335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1750604641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MILLIGAN PL",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791927",
"telephone_number": "973-763-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 ALGONQUIN PKWY",
"city": "WHIPPANY",
"state": "NJ",
"postal_code": "079811601",
"telephone_number": "973-503-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGWU",
"first_name": "GLADYS",
"middle_name": "IKODIYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-05",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28R103195000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.