Individual provider Active NPI

Alphonsus Ikechukwu Nwambie, RPH, DBA

  • Pharmacist
  • Miami, FL
National Provider Identifier
1053908905
Registry record updated Dec 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS44589 Issued in FL
Practice address
9031 SW 107TH Ave
Miami, FL 33176-1414
Phone
(512) 905-8369
NPI assigned
Dec 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS44789 FL
Pharmacist 183500000X PS44589 FL Primary

Addresses

Primary practice location

9031 SW 107TH Ave
Miami, FL 33176-1414

Mailing address

9065 SW 172ND Ave
Miami, FL 33196-2952
Phone (512) 905-8369

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
Doctor of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS44589FLMDPharmacist
PS44789FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609027200000",
    "number": "1053908905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 SW 172ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962952",
            "telephone_number": "512-905-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761414",
            "telephone_number": "512-905-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAMBIE",
        "first_name": "ALPHONSUS",
        "middle_name": "IKECHUKWU",
        "credential": "RPH, DBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-27",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS44789",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS44589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.