DR. MIA AJEKWU BASSARAGH PHARM.D.
NPI 1073823449
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bossier City, LA

Q: What is Mia Ajekwu Bassaragh's NPI number?

The NPI number for Mia Ajekwu Bassaragh is 1073823449. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Q: What is Mia Ajekwu Bassaragh's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Active since October 19, 2010

3400 AIRLINE DR., BOSSIER CITY, LA 71111(318) 741-6589 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mia Ajekwu Bassaragh Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIA AJEKWU BASSARAGH PHARM.D. (NPI 1073823449) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Bossier City, Louisiana, licensed in Louisiana (19243) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1073823449

Entity TypeIndividualFemale

Primary Taxonomy1835P0018X

Provider Legal NameDR. MIA AJEKWU BASSARAGHCredential: PHARM.D.

Location Address3400 AIRLINE DR.Bossier City, LA 71111

Mailing Address2940 Le Oaks Drive #1514Bossier, LA 71111 · (281) 224-1424

Phone(318) 741-6589

Sole ProprietorYes

Enumeration DateOctober 19, 2010

✔ NPI 1073823449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in LA · 19243

Definition

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.

3400 AIRLINE DR., Bossier City, LA 71111

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Ajekwu Bassaragh's NPI number?

The NPI number for Mia Ajekwu Bassaragh is 1073823449. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Where is Mia Ajekwu Bassaragh located?

Mia Ajekwu Bassaragh practices at 3400 Airline Dr., Bossier City, LA 71111. The listed phone number is (318) 741-6589.

What is Mia Ajekwu Bassaragh's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Mia Ajekwu Bassaragh was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.