Active NPI
Ikhafa Steve Iruedo
- Pharmacist
- Memphis, TN
National Provider Identifier
1801500616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44564
- Practice address
- 3489 Ramill Rd
Memphis, TN 38128-3328 - Phone
- (901) 372-8422
- NPI assigned
- Jan 6, 2023
- Last updated
- Jan 6, 2023
- Sex
- Male
- 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 | 44564 | TN | Primary |
Addresses
Primary practice location
3489 Ramill Rd
Memphis, TN 38128-3328
Mailing address
9805 Kingsridge Dr
Lakeland, TN 38002-7490
Phone (832) 661-5330
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 |
|---|---|---|---|
| 44564 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1801500616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9805 KINGSRIDGE DR",
"city": "LAKELAND",
"state": "TN",
"postal_code": "380027490",
"telephone_number": "832-661-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3489 RAMILL RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381283328",
"telephone_number": "901-372-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRUEDO",
"first_name": "IKHAFA",
"middle_name": "STEVE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "44564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.