Chinenye Ursla Anyanwu, PHARMD
Individual provider Active NPI Pharmacist · Clinton, MD
NPI 1124389515 · NPPES record last updated Jun 3, 2012
Key facts
- NPI
- 1124389515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19411 (MD)
- Practice address
- 9001 Woodyard Rd
Clinton, MD 20735-4264 - Phone
- (301) 856-6501
- NPI assigned
- Jun 3, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19411 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19411 | MD | Yes |
Addresses
Primary practice location
9001 Woodyard Rd
Clinton, MD 20735-4264
Mailing address
9001 Woodyard Rd
Clinton, MD 20735-4264
Phone (301) 856-6501
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.