Individual provider Active NPI

Nneoma Chinemenma Nwajuaku

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1285417725
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I070554-01 Issued in NY
Practice address
1458 Fulton St
Brooklyn, NY 11216-5365
Phone
(718) 221-4860
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I070554-01 NY Primary

Addresses

Primary practice location

1458 Fulton St
Brooklyn, NY 11216-5365

Mailing address

1458 Fulton St
Brooklyn, NY 11216-5365
Phone (718) 221-4860

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

State licenses

LicenseStateTypeSpecialty
I070554-01NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bed-Stuy Pharmacy Ny LLC CurrentSince Sep 8, 2025 Accepting new patients
Bed-Stuy Pharmacy Ny LLC PastSince Sep 8, 2025 Accepting new patients
Broadway Care Inc. PastSince Mar 24, 2024 Accepting new patients

Organizations & group practices 3

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1285417725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112165365",
            "telephone_number": "718-221-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112165365",
            "telephone_number": "718-221-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAJUAKU",
        "first_name": "NNEOMA",
        "middle_name": "CHINEMENMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I070554-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.