Elizabeth Ejimnkeonye Chime-Udeh, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0007292 Issued in CT

Practice address

48 Arlen Way
West Hartford, CT 06117-1106

Phone

(860) 798-9244

Fax

(860) 232-1852

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1215554894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ARLEN WAY",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171106",
            "telephone_number": "860-798-9244",
            "fax_number": "860-232-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ARLEN WAY",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171106",
            "telephone_number": "860-798-9244",
            "fax_number": "860-232-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIME-UDEH",
        "first_name": "ELIZABETH",
        "middle_name": "EJIMNKEONYE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CT",
            "license": "PCT.0007292",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CT",
            "license": "PCT.0007292",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0007292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Cheng, DPT
• Joshi Babu Cherian
• Deanna Marie Cherrone, M.D.
• Brenna Chiaputti, LCSW
• Amber Wimsatt Childs, PH.D.
• Krishan Chirimunj, MD
• Elizabeth Cipes Chisholm, D.M.D
• Ami V Chokshi, NBC-HWC
• Chris Carson Marriage & Family Therapy, LLC
• Aldon Christian

• Pharmacist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.