Individual provider Active NPI

James Chikwanha, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Stroudsburg, PA
National Provider Identifier
1285200683
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RP446555 Issued in PA
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

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31531464OtherPADRIVER LICENSE
RP446555OtherPAPA BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
RP446555PAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Stroud Compounding and Wellness Drugstore, Corp Current Accepting new patients
Stroud Compounding and Wellness Drugstore Corp CurrentSince Jun 22, 2021 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.

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.

Verify at the official NPI Registry.