MEDICARE: VICTOR IGHEKPE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202219353	VA

General Provider Information

NPI Number	:	1710555362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR IGHEKPE

Provider Business Mailing Address
First Line	:	3775 KECOUGHTAN RD APT 2
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23669-4468
Country	:	US
Telephone Number	:	804-714-4233
Fax Number	:

Provider Business Practice Location Address
First Line	:	9976 JEFFERSON AVE
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23605-1057
Country	:	US
Telephone Number	:	757-599-9626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2021
Last Update Date	:	06/13/2021

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Directions to “ VICTOR IGHEKPE ” Practice Location

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