Active NPI
Gloria Chinenye Agunanne, RPH
- Pharmacist
- Modesto, CA
National Provider Identifier
1134418858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50709
- Practice address
- 3900 Pelandale Ave Ste 500a
Modesto, CA 95356-9104 - Phone
- (209) 545-0766
- Fax
- (209) 545-0611
- NPI assigned
- Apr 4, 2011
- Sex
- Female
- 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 | 50709 | CA | Primary |
Addresses
Primary practice location
3900 Pelandale Ave Ste 500a
Modesto, CA 95356-9104
Mailing address
2212 Ariano LN
Ceres, CA 95307-7152
Phone (209) 538-2417
Other names 1
- Gloria Chinenye Onyeador
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50709 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | 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.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1134418858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 ARIANO LN",
"city": "CERES",
"state": "CA",
"postal_code": "953077152",
"telephone_number": "209-538-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 PELANDALE AVE STE 500A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569104",
"telephone_number": "209-545-0766",
"fax_number": "209-545-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUNANNE",
"first_name": "GLORIA",
"middle_name": "CHINENYE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-04",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "ONYEADOR",
"middle_name": "CHINENYE",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.