Individual provider Active NPI

Udumeje Jack-Ogunewe

  • Pharmacist
  • Yonkers, NY
National Provider Identifier
1881239184
Registry record updated Nov 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066300-01 Issued in NY
Practice address
25 Grassy Sprain Rd
Yonkers, NY 10710-4516
Phone
(646) 457-5264
NPI assigned
Nov 10, 2019
Last updated
Nov 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066300-01 NY Primary

Addresses

Primary practice location

25 Grassy Sprain Rd
Yonkers, NY 10710-4516

Mailing address

25 Grassy Sprain Rd
Yonkers, NY 10710-4516
Phone (646) 457-5264

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

LicenseStateTypeSpecialty
066300-01NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573344000000",
    "number": "1881239184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GRASSY SPRAIN RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107104516",
            "telephone_number": "646-457-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GRASSY SPRAIN RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107104516",
            "telephone_number": "646-457-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK-OGUNEWE",
        "first_name": "UDUMEJE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2019-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066300-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2019; 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.