Provider Demographics
NPI:1023141785
Name:ESOMONU, IJEOMA NWANYIOCHA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:IJEOMA
Middle Name:NWANYIOCHA
Last Name:ESOMONU
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 ESSEX CT
Mailing Address - Street 2:#392
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-6779
Mailing Address - Country:US
Mailing Address - Phone:951-515-2873
Mailing Address - Fax:510-733-6745
Practice Address - Street 1:280 WEST MAC ARTHUR BLVD
Practice Address - Street 2:KAISER PERMANENTE
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611
Practice Address - Country:US
Practice Address - Phone:510-752-6468
Practice Address - Fax:510-752-7093
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist