Individual provider Active NPI

Richard Nji Nkwenti, R.PH

  • Pharmacist
  • Surprise, AZ
National Provider Identifier
1033615349
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S015754 Issued in AZ
Practice address
15331 W Bell Rd Ste 122
Surprise, AZ 85374-4103
Phone
(623) 404-1000
Fax
(623) 256-6491
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S015754 AZ Primary

Addresses

Primary practice location

15331 W Bell Rd Ste 122
Surprise, AZ 85374-4103

Mailing address

15331 W Bell Rd Ste 122
Surprise, AZ 85374-4103
Phone (623) 404-1000

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

LicenseStateTypeSpecialty
S015754AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmaprodia LLC Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1033615349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15331 W BELL RD STE 122",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744103",
            "telephone_number": "623-404-1000",
            "fax_number": "623-256-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15331 W BELL RD STE 122",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744103",
            "telephone_number": "623-404-1000",
            "fax_number": "623-256-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWENTI",
        "first_name": "RICHARD",
        "middle_name": "NJI",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S015754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.