Active NPI
Eunice Amaka Ezechukwu, PHARMD
- Pharmacist
- Lithonia, GA
National Provider Identifier
1891542064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 034117
- Practice address
- 3045 Panola Rd
Lithonia, GA 30038-2317 - Phone
- (770) 322-1890
- NPI assigned
- May 4, 2024
- Sex
- Female
- 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 | 034117 | GA | Primary |
Addresses
Primary practice location
3045 Panola Rd
Lithonia, GA 30038-2317
Mailing address
5262 Kinsdale LN
Stone Mountain, GA 30088-4304
Phone (404) 861-9543
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
| License | State | Type | Specialty |
|---|---|---|---|
| 034117 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714780800000",
"number": "1891542064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5262 KINSDALE LN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300884304",
"telephone_number": "404-861-9543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 PANOLA RD",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300382317",
"telephone_number": "770-322-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZECHUKWU",
"first_name": "EUNICE",
"middle_name": "AMAKA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-04",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "034117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
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- Fagan Transportation LLC
- Modupeola Ololade Fakunle, RN
- Janet M Falade, PHARMACIST
- Families Matter Therapies, LLC
- Family Care and Counseling Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.