Nneka Agwa, PHARM. D.

Key facts

NPI

1124375902

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

PH234270 (MA)

Practice address

2100 Highland Corporate Dr
Cumberland, RI 02864-8703

Phone

(866) 908-2343

NPI assigned

Aug 10, 2012

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 9, 2026.

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1124375902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CARYL RD",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722024",
            "telephone_number": "617-417-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHLAND CORPORATE DR",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028648703",
            "telephone_number": "866-908-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGWA",
        "first_name": "NNEKA",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH234270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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