Active NPI
Michael Chikaodinaka Acholonu
- Pharmacist
- San Leandro, CA
National Provider Identifier
1083498521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45757
- Practice address
- 999 Arbor Dr
San Leandro, CA 94577-2948 - Phone
- (650) 619-4106
- NPI assigned
- Aug 24, 2023
- Sex
- Male
- 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 | 45757 | CA | Primary |
Addresses
Primary practice location
999 Arbor Dr
San Leandro, CA 94577-2948
Mailing address
PO Box 2013
San Leandro, CA 94577-0307
Phone (650) 619-4106
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45757 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Getwell Pharmacy and Medical Supply | Pharmacist | Current | 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.
-
- Pharmacist
- San Leandro, CA
- NPI 1669703237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1083498521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2013",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945770307",
"telephone_number": "650-619-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 ARBOR DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945772948",
"telephone_number": "650-619-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHOLONU",
"first_name": "MICHAEL",
"middle_name": "CHIKAODINAKA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.