Individual provider Active NPI

Chinelo Nwanodu, PHARMD

  • Pharmacist
  • Flower Mound, TX
National Provider Identifier
1164160024
Registry record updated May 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
56363 Issued in TX
Practice address
2220 Cross Timbers Rd
Flower Mound, TX 75028-2615
Phone
(972) 874-1040
NPI assigned
May 21, 2022
Last updated
May 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 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 56363 TX Primary

Addresses

Primary practice location

2220 Cross Timbers Rd
Flower Mound, TX 75028-2615

Mailing address

2220 Cross Timbers Rd
Flower Mound, TX 75028-2615
Phone (972) 874-1040

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chinelonwanodu@gmail.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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
56363TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc PastSince May 29, 2022 Accepting new patients
CVS Pharmacy Inc PastSince May 29, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1164160024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CROSS TIMBERS RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282615",
            "telephone_number": "972-874-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CROSS TIMBERS RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282615",
            "telephone_number": "972-874-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANODU",
        "first_name": "CHINELO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "56363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chinelonwanodu@gmail.com",
            "affiliation": "N",
            "address_1": "2220 Cross Timbers Rd",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750282615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.