Active NPI
Ucheoma Nwizu, PHARM D
- Pharmacist
- Canby, OR
National Provider Identifier
1104292242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0014123
- Practice address
- 178 SW 2ND Ave
Canby, OR 97013-4152 - Phone
- (503) 416-4547
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- No
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.
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1174820815
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 |
|---|---|---|---|
| RPH-0014123 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Center | Past | Accepting new patients |
Interoperability endpoints
- unwizu161265@direct.ochin.org
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 | RPH-0014123 | OR | Primary |
Addresses
Primary practice location
178 SW 2ND Ave
Canby, OR 97013-4152
Mailing address
7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3077
Other practice location 1
10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224
Phone (503) 848-5861
Other practice location 2
10330 SE 32nd Ave Ste 325
Milwaukie, OR 97222-6656
Phone (503) 416-1960
NPI Registry JSON
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1104292242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 SW HUNZIKER RD STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972232302",
"telephone_number": "503-941-3077",
"fax_number": "503-747-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 SW 2ND AVE",
"city": "CANBY",
"state": "OR",
"postal_code": "970134152",
"telephone_number": "503-416-4547"
}
],
"practiceLocations": [
{
"address_1": "10690 NE Cornell Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971249224",
"country_code": "US",
"telephone_number": "503-848-5861",
"fax_number": "503-848-5863",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10330 SE 32nd Ave Ste 325",
"address_purpose": "LOCATION",
"city": "Milwaukie",
"state": "OR",
"postal_code": "972226656",
"country_code": "US",
"telephone_number": "503-416-1960",
"fax_number": "503-416-1959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWIZU",
"first_name": "UCHEOMA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0014123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canby, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.