Organization Active NPI

Brighton Oaks Pharmacy LLC

Doing business as Brighton Oaks Pharmacy

  • Community/Retail Pharmacy
  • Chapel Hill, NC
National Provider Identifier
1801500954
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRIGHTON OAKS PHARMACY LLC
Doing business as
Brighton Oaks Pharmacy
Practice address
1208 Raleigh Rd
Chapel Hill, NC 27517-4417
Phone
(919) 240-4772
Fax
(919) 240-5380
NPI assigned
Jan 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Dr. Ugwumsiachi Ibiam, PHARMD
Title
RPH/Owner
Phone
(781) 363-0186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1208 Raleigh Rd
Chapel Hill, NC 27517-4417

Mailing address

4450 Benton Mill Dr
Fuquay Varina, NC 27526-3568
Phone (781) 363-0186

Other names 1

  • Brighton Oaks Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119000334 NC Part B Supplier - Mass Immunization (Roster Biller Only) 6901258508 Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Locations

1208 Raleigh Rd
Chapel Hill, NC 27517
Phone (919) 240-4772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1801500954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 BENTON MILL DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263568",
            "telephone_number": "781-363-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 RALEIGH RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275174417",
            "telephone_number": "919-240-4772",
            "fax_number": "919-240-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON OAKS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "IBIAM",
        "authorized_official_first_name": "UGWUMSIACHI",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "781-363-0186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Oaks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.