DR. CHIBUGO EJISOBY-NWOSU (NPI# 1265952329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265952329 |
| Entity Type | Individual |
| Full Name | DR. CHIBUGO EJISOBY-NWOSU |
| Practice Address |
2994 Atlanta Rd Se Smyrna GA 30080-3655 |
| Mailing Address |
1284 Glandor Ct Se Mableton GA 30126-2755 |
| Practice Telephone | 7704352178 |
| Mailing Telephone | 6782303089 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
019518 | GA | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
019518 | GA | Pharmacy Service Providers |
| Street Address |
2994 ATLANTA RD SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730208083 | Juandria Nicole Montgomery | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2007-03-28 |
| 1447869482 | Onyinye Adaora Ukadike | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2020-07-27 |
| 1043739477 | Yuri Ayana Taylor | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2017-09-18 |
| 1780091983 | Blessing Ada Ikonne | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2014-07-20 |
| 1639595309 | Lenise Marlena Jordan | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2014-03-05 |
| 1528310794 | Amber Irabor | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2012-10-11 |
| 1376839720 | Jenny Walker | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2011-06-23 |
| 1669763504 | Gloria Carol Miller | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2011-04-26 |
| 1861711749 | Nisha Jiwani Ali | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2010-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558388 | Marx A Twumasi | Pharmacist | 41 Foxtrail Rd, Smyrna, DE 19977-3978 | 2020-11-05 |
| 1689812935 | John Machayo | Pharmacist | 4715 S Atlanta Rd Se, Smyrna, GA 30080-7031 | 2009-01-24 |
| 1578185146 | Benjamin Sherrill | Pharmacist | 3240 S Cobb Dr Se, Smyrna, GA 30080-4194 | 2020-05-17 |
| 1821629429 | Areum Han | Pharmacist | 3240 S Cobb Dr Se, Smyrna, GA 30080-4194 | 2020-02-01 |
| 1023649993 | Leigh Ann Layman | Pharmacist | 4715 S Atlanta Rd Se, Smyrna, GA 30080 | 2020-01-30 |
| 1285042192 | Krystin Tran | Pharmacist | 200 Technology Ct Se, Suite B, Smyrna, GA 30082-5250 | 2014-07-24 |
| 1033457262 | Patrick Hall | Pharmacist | 661 President Pl, Smyrna, TN 37167-5671 | 2013-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
| 1568086494 | Lynn Berner Marshall | Pharmacist | 3823 Club Forest Dr, Peachtree Corners, GA 30092-2369 | 2020-06-06 |
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
| 1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
| 1104452663 | Latrena Solomon | Pharmacist | 1750 Highway 138 E, Stockbridge, GA 30281-2810 | 2020-03-17 |
| 1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
| 1972136273 | Shannon Sulik | Pharmacist | 774 Highway 96, Bonaire, GA 31005-3300 | 2020-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.