Healthcare Provider Details

I. General information

NPI: 1669343372
Provider Name (Legal Business Name): UCHENNA STEPHANIE OGBUDINKPA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 10/24/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3026 BRAGG BLVD
FAYETTEVILLE NC
28303-4043
US

IV. Provider business mailing address

830 SUMNER DR APT 11
FAYETTEVILLE NC
28303-5557
US

V. Phone/Fax

Practice location:
  • Phone: 910-864-4556
  • Fax:
Mailing address:
  • Phone: 919-935-8183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34104
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: