Active NPI
Ikenna L Unegbu, PHARMD
- Pharmacist
- Washington, DC
National Provider Identifier
1982226254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100001197
- Practice address
- 5255 Loughboro Rd NW
Washington, DC 20016-2633 - Phone
- (202) 537-4171
- NPI assigned
- May 10, 2020
- Sex
- Male
- 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 | PH100001197 | DC | Primary |
Addresses
Primary practice location
5255 Loughboro Rd NW
Washington, DC 20016-2633
Mailing address
116 3Rd St NE
Washington, DC 20002-7314
Phone (202) 817-1854
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 |
|---|---|---|---|
| PH100001197 | DC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589068800000",
"number": "1982226254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 3RD ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027314",
"telephone_number": "202-817-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 LOUGHBORO RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162633",
"telephone_number": "202-537-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNEGBU",
"first_name": "IKENNA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-10",
"last_updated": "2020-05-10",
"certification_date": "2020-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100001197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.