Individual provider Active NPI

Anthonia Ifeoma Azubike

  • Pharmacist
  • Durham, NC
National Provider Identifier
1144941642
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31542 Issued in NC
Practice address
8210 Renaissance Pkwy
Durham, NC 27713-6688
Phone
(919) 425-0002
NPI assigned
Sep 5, 2022
Last updated
Sep 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31542 NC Primary

Addresses

Primary practice location

8210 Renaissance Pkwy
Durham, NC 27713-6688

Mailing address

104 Cloverdale Dr
Durham, NC 27703-2700
Phone (301) 675-6920

Other names 1

  • Anthonia Ifeoma Agulonu Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.cvs.com

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
31542NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1144941642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CLOVERDALE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032700",
            "telephone_number": "301-675-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 RENAISSANCE PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136688",
            "telephone_number": "919-425-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUBIKE",
        "first_name": "ANTHONIA",
        "middle_name": "IFEOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cvs.com",
            "affiliation": "N",
            "address_1": "8210 Renaissance Pkwy",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277136688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANTHONIA",
            "last_name": "AGULONU",
            "middle_name": "IFEOMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.