Active NPI
James Chikwanha, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Stroudsburg, PA
National Provider Identifier
1285200683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RP446555
- Practice address
- 1619 N 9TH St Ste 3
Stroudsburg, PA 18360-6501 - Phone
- (570) 476-6936
- Fax
- (570) 476-6938
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RP446555 | PA | Primary |
Addresses
Primary practice location
1619 N 9TH St Ste 3
Stroudsburg, PA 18360-6501
Mailing address
1619 N 9TH St Ste 3
Stroudsburg, PA 18360-6501
Phone (570) 476-6936
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31531464 | Other | PA | DRIVER LICENSE |
| RP446555 | Other | PA | PA BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Stroudsburg |
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 |
|---|---|---|---|
| RP446555 | PA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stroud Compounding and Wellness Drugstore, Corp | Current | Accepting new patients | |
| Stroud Compounding and Wellness Drugstore Corp | Current | Accepting new patients |
Locations
1619 N 9th St
Ste 3
Stroudsburg, PA 18360
Phone (570) 476-6936
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Stroudsburg, PA
- NPI 1366500431
-
- Health Service Clinic/Center
- Stroudsburg, PA
- NPI 1376815951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1285200683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 N 9TH ST STE 3",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183606501",
"telephone_number": "570-476-6936",
"fax_number": "570-476-6938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 N 9TH ST STE 3",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183606501",
"telephone_number": "570-476-6936",
"fax_number": "570-476-6938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIKWANHA",
"first_name": "JAMES",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PA",
"license": "RP446555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "31531464",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BOARD OF PHARMACY",
"identifier": "RP446555",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Stroudsburg",
"affiliation": "N",
"address_1": "1619 N 9th St Ste 3",
"city": "Stroudsburg",
"state": "PA",
"country_code": "US",
"postal_code": "183606501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.