Active NPI
Adeola Chukwumah, PHARMD
- Pharmacist
- Plano, TX
National Provider Identifier
1073199766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60532
- Practice address
- 3512 Brewster Dr
Plano, TX 75025-4438 - Phone
- (734) 218-2899
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302032679 | MI | |
| Pharmacist | 183500000X | 60532 | TX | Primary |
Addresses
Primary practice location
3512 Brewster Dr
Plano, TX 75025-4438
Mailing address
3512 Brewster Dr
Plano, TX 75025-4438
Phone (734) 218-2899
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302032679 | MI | MD | Pharmacist |
| 60532 | TX | MD | Assistive Technology Practitioner Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1073199766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3512 BREWSTER DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750254438",
"telephone_number": "734-218-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 BREWSTER DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750254438",
"telephone_number": "734-218-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUKWUMAH",
"first_name": "ADEOLA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302032679",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "60532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.