EBOSETALE IKHELOA
NPI 1457170649
Pharmacist in Decatur, GA

Active since October 07, 2024
2550 BLACKMON DR APT 3211, DECATUR, GA 30033(706) 351-0246 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebosetale Ikheloa NPPES

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

EBOSETALE IKHELOA (NPI 1457170649) is an individual pharmacist in Decatur, Georgia, licensed in Georgia (RPH033510) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1457170649
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameEBOSETALE IKHELOA
Location Address2550 BLACKMON DR APT 3211Decatur, GA 30033-6254
Mailing Address2550 Blackmon Dr Apt 3211Decatur, GA 30033-6254 · (706) 351-0246
Sole ProprietorYes
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 6, 2024
NPI 1457170649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · RPH033510
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
2550 BLACKMON DR APT 3211, Decatur, GA 30033

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 Ebosetale Ikheloa's NPI number?

The NPI number for Ebosetale Ikheloa is 1457170649. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Ebosetale Ikheloa located?

Ebosetale Ikheloa practices at 2550 Blackmon Dr Apt 3211, Decatur, GA 30033. The listed phone number is (706) 351-0246.

What is Ebosetale Ikheloa's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ebosetale Ikheloa was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.