Individual provider Active NPI

Jude Emeka Ikegbu, PHARM D

  • Pharmacist
  • Hawthorne, CA
National Provider Identifier
1811217847
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58181 Issued in CA
Practice address
13141 Hawthorne Blvd
Hawthorne, CA 90250-4416
Phone
(310) 973-8250
NPI assigned
Jun 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58181 CA Primary
Pharmacist 183500000X 441026 PA

Addresses

Primary practice location

13141 Hawthorne Blvd
Hawthorne, CA 90250-4416

Mailing address

9441 Crenshaw Blvd
Apt. 2
Inglewood, CA 90305-2984
Phone (310) 404-6466

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
58181CAMDPharmacist
441026PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mekagreen Inc Current Accepting new patients
Pharike Pharmacy Inc Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1811217847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 CRENSHAW BLVD",
            "address_2": "APT. 2",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052984",
            "telephone_number": "310-404-6466",
            "fax_number": "310-532-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13141 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504416",
            "telephone_number": "310-973-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEGBU",
        "first_name": "JUDE",
        "middle_name": "EMEKA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "58181",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "441026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.