Individual provider Active NPI

Kelechi Courage Chavis Onyiriuka, PHARMD

  • Pharmacist
  • Elkin, NC
National Provider Identifier
1154824480
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41721 Issued in TN
Practice address
505 Samaritans Ridge CT Ste 101
Elkin, NC 28621-2457
Phone
(980) 226-8358
NPI assigned
Mar 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41721 TN Primary

Addresses

Primary practice location

505 Samaritans Ridge CT Ste 101
Elkin, NC 28621-2457

Mailing address

3500 Stonehaven Dr
Charlotte, NC 28215-3232
Phone (980) 226-8358

Other practice location 1

490 Greenway View Dr
Chattanooga, TN 37411-5689
Phone (423) 892-2554

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
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Alliedrx Pharmacy CurrentSince Aug 2, 2020 Accepting new patients

Locations

505 Samaritans Ridge Ct
#101
Elkin, NC 28621
Phone (336) 258-2255

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1154824480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 STONEHAVEN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153232",
            "telephone_number": "980-226-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SAMARITANS RIDGE CT STE 101",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212457",
            "telephone_number": "980-226-8358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Greenway View Dr",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374115689",
            "country_code": "US",
            "telephone_number": "423-892-2554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONYIRIUKA",
        "first_name": "KELECHI",
        "middle_name": "COURAGE CHAVIS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "41721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.