Active NPI
Ngozi Ezinne Ezeudu
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1992482855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86086
- Practice address
- 2070 S Central Ave
Los Angeles, CA 90011-1235 - Phone
- (213) 536-4888
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 86086 | CA | Primary |
Addresses
Primary practice location
2070 S Central Ave
Los Angeles, CA 90011-1235
Mailing address
14010 Cerise Ave
Hawthorne, CA 90250-8120
Phone (424) 240-0987
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86086 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Branch Pharmacy | Past | Accepting new patients | |
| Olive Branch Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1174997605
-
- Pharmacy
- Los Angeles, CA
- NPI 1255643995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1992482855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14010 CERISE AVE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902508120",
"telephone_number": "424-240-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 S CENTRAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900111235",
"telephone_number": "213-536-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZEUDU",
"first_name": "NGOZI",
"middle_name": "EZINNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.