Active NPI
Obioma Chikwendu, RPH BPHARM
- Pharmacist
- Blue Bell, PA
National Provider Identifier
1013510965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP451423
- Practice address
- 1799 Dekalb Pike
Blue Bell, PA 19422-3353 - Phone
- (610) 239-1681
- Fax
- (610) 278-6318
- NPI assigned
- Nov 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP451423 | PA | Primary |
Addresses
Primary practice location
1799 Dekalb Pike
Blue Bell, PA 19422-3353
Mailing address
1799 Dekalb Pike
Blue Bell, PA 19422-3353
Phone (610) 239-1681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1329961 | Other | EMP ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rx03011@cvshealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP451423 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- rx03011@cvshealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Blue Bell, PA
- NPI 1558465336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1013510965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1799 DEKALB PIKE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194223353",
"telephone_number": "610-239-1681",
"fax_number": "610-278-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1799 DEKALB PIKE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194223353",
"telephone_number": "610-239-1681",
"fax_number": "610-278-6318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIKWENDU",
"first_name": "OBIOMA",
"credential": "RPH BPHARM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP451423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMP ID",
"identifier": "1329961",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rx03011@cvshealth.com",
"affiliation": "N",
"endpointDescription": "Encrypted work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1799 Dekalb Pike",
"city": "Blue Bell",
"state": "PA",
"country_code": "US",
"postal_code": "194223353",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Blue Bell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.