Chukwunonso Nwandu, PHARMD
Individual provider Active NPI Pharmacist · Walkerton, IN
NPI 1235845488 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1235845488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26030158A (IN)
- Practice address
- 300 Liberty St
Walkerton, IN 46574-1246 - Phone
- (575) 586-7154
- NPI assigned
- Jan 30, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26030158A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26030158A | IN | Yes |
Addresses
Primary practice location
300 Liberty St
Walkerton, IN 46574-1246
Mailing address
26117 S Countyfair Dr
Monee, IL 60449-8783
Other providers in Walkerton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.