Individual provider Active NPI

Franklin Ikenna Nduka

  • Pharmacist
  • University Place, WA
National Provider Identifier
1114461167
Registry record updated Dec 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60693663 Issued in WA
Practice address
3838 Bridgeport Way W
University Place, WA 98466-4416
Phone
(253) 564-2255
NPI assigned
Dec 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60693663 WA Primary

Addresses

Primary practice location

3838 Bridgeport Way W
University Place, WA 98466-4416

Mailing address

24123 62ND Way S Apt 17-305
Kent, WA 98032-4689
Phone (267) 602-8286

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

LicenseStateTypeSpecialty
PH60693663WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481328000000",
    "number": "1114461167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24123 62ND WAY S APT 17-305",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324689",
            "telephone_number": "267-602-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664416",
            "telephone_number": "253-564-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUKA",
        "first_name": "FRANKLIN",
        "middle_name": "IKENNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-10",
        "last_updated": "2016-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60693663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.