Chikodili Udemgba, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-15491 Issued in MS

Practice address

719 Brookway Blvd
Brookhaven, MS 39601-2639

Phone

(601) 833-8509

Fax

(601) 833-9626

NPI assigned

Aug 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Brookhaven, MS
  • NPI 1093720252
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1982185104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MORGANTOWN RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391201703",
            "telephone_number": "601-334-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 BROOKWAY BLVD",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012639",
            "telephone_number": "601-833-8509",
            "fax_number": "601-833-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEMGBA",
        "first_name": "CHIKODILI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-25",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-15491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Family Care, LLC
• Trend Health and Rehab of Brookhaven
• Tri Therapy PLLC
• Trinity Transport, Inc
• John E Turba, MD
• Kersten Vanem, MS PMHT
• Brenilla Vaughn, FNP
• Mendez G Vaughn, OT
• W. Don Doty, D.M.D., General Dentistry, a Professional Corp
• Wal-Mart Stores East LP

• All providers in Brookhaven, MS
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.