Neville Wusaobi Chukwu, PHARM. D – Pharmacist

Key facts

NPI: 1043870249
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 051302427 (IL)
Practice address: 8361 Belmont Ave
River Grove, IL 60171-1001
Phone: (708) 452-8062
Fax: (708) 452-4975
NPI assigned: Jun 19, 2019
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

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.

Walgreen Co Pharmacy · Forest Park, IL · NPI 1528073798

NPD (past)
Walgreen Co Pharmacy · Longview, TX · NPI 1629956545

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
051302427	IL	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Walgreen Co		Past	Accepting new patients
Walgreen Co		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	051302427	IL	Yes

Addresses

Primary practice location

8361 Belmont Ave
River Grove, IL 60171-1001

Mailing address

901 Ontario St Apt 501
Oak Park, IL 60302-1943
Phone (630) 670-0028

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 14, 2020.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1043870249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ONTARIO ST APT 501",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021943",
            "telephone_number": "630-670-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8361 BELMONT AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711001",
            "telephone_number": "708-452-8062",
            "fax_number": "708-452-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWU",
        "first_name": "NEVILLE",
        "middle_name": "WUSAOBI",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051302427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Grove, IL

All providers in River Grove, IL · Pharmacist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.