Individual provider Active NPI

Okwudili Ignatius Ibekwe, PHARMACIST

  • Pharmacist
  • Morehead, KY
National Provider Identifier
1902195647
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
014359 Issued in KY
Practice address
380 W Main St
Morehead, KY 40351-1536
Phone
(606) 783-1581
Fax
(606) 780-1331
NPI assigned
Apr 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 014359 KY Primary

Addresses

Primary practice location

380 W Main St
Morehead, KY 40351-1536

Mailing address

205 Village Dr
Morehead, KY 40351-7720
Phone (606) 356-6335

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
014359KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1902195647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 VILLAGE DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403517720",
            "telephone_number": "606-356-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511536",
            "telephone_number": "606-783-1581",
            "fax_number": "606-780-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEKWE",
        "first_name": "OKWUDILI",
        "middle_name": "IGNATIUS",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "014359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.