Active NPI
Chidozie Nnamdi Olumba, PHARMD
- Pharmacist
- Chula Vista, CA
National Provider Identifier
1285368241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 84683
- Practice address
- 751 Medical Center CT
Chula Vista, CA 91911-6617 - Phone
- (619) 502-5731
- NPI assigned
- Jul 14, 2022
- 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 | 183500000X | 84683 | CA | Primary |
Addresses
Primary practice location
751 Medical Center CT
Chula Vista, CA 91911-6617
Mailing address
19919 Ray Cir
Cerritos, CA 90703-7547
Phone (562) 916-5761
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chidozie.olumba2@sharp.com |
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 |
|---|---|---|---|
| 84683 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1285368241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19919 RAY CIR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907037547",
"telephone_number": "562-916-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 MEDICAL CENTER CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116617",
"telephone_number": "619-502-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUMBA",
"first_name": "CHIDOZIE",
"middle_name": "NNAMDI",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "84683",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chidozie.olumba2@sharp.com",
"affiliation": "N",
"address_1": "751 Medical Center Ct",
"city": "Chula Vista",
"state": "CA",
"country_code": "US",
"postal_code": "919116617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.