Individual provider Active NPI

Chiemeka Uzoma Ike, PHARMD

  • Pharmacist
  • Bellevue, WA
National Provider Identifier
1801305651
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60782948 Issued in WA
Practice address
3620 Factoria Blvd SE
Bellevue, WA 98006-6128
Phone
(425) 644-7507
NPI assigned
Sep 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60805 TX
Pharmacist 183500000X PH60782948 WA Primary

Addresses

Primary practice location

3620 Factoria Blvd SE
Bellevue, WA 98006-6128

Mailing address

1217 121St Ave NE Apt E102
Bellevue, WA 98005-5010
Phone (412) 680-7130

Other practice location 1

1217 121st Avenue NE
Apt E-102
Bellevue, WA 98005
Phone (412) 680-7130

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

LicenseStateTypeSpecialty
60805TXMDPharmacist
PH60782948WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801305651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 121ST AVE NE APT E102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980055010",
            "telephone_number": "412-680-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 FACTORIA BLVD SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066128",
            "telephone_number": "425-644-7507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 121st Avenue NE",
            "address_2": "Apt E-102",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98005",
            "country_code": "US",
            "telephone_number": "412-680-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKE",
        "first_name": "CHIEMEKA",
        "middle_name": "UZOMA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "60805",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60782948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, 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.

Verify at the official NPI Registry.