Active NPI
Jane Chinyere Nwangwu, PHARMD
- Pharmacist
- Elizabethtown, NC
National Provider Identifier
1164922464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28491
- Practice address
- 371 S Poplar St
Elizabethtown, NC 28337-9084 - Phone
- (910) 862-2076
- NPI assigned
- Feb 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28491 | NC | Primary |
| Pharmacist | 183500000X | 0016506 | OR |
Addresses
Primary practice location
371 S Poplar St
Elizabethtown, NC 28337-9084
Mailing address
1430 NW Garden Valley Blvd
Roseburg, OR 97471-1766
Other practice location 1
1430 NW Garden Valley Blvd
Roseburg, OR 97471-1766
Phone (541) 673-1750
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28491 | NC | MD | Pharmacist |
| 0016506 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pharmacy
- Southern Pines, NC
- NPI 1538999107
-
- Pharmacy
- Anderson, SC
- NPI 1114020971
-
- 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": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1164922464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 NW GARDEN VALLEY BLVD",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974711766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 S POPLAR ST",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "283379084",
"telephone_number": "910-862-2076"
}
],
"practiceLocations": [
{
"address_1": "1430 NW Garden Valley Blvd",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974711766",
"country_code": "US",
"telephone_number": "541-673-1750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWANGWU",
"first_name": "JANE",
"middle_name": "CHINYERE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28491",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0016506",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.