Individual provider Active NPI

Chinelo Enwonwu, PHARMD,MPH,CHES

  • Pharmacist
  • Washington, DC
National Provider Identifier
1306268701
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH100001022 Issued in DC
Practice address
320 40TH St NE
Washington, DC 20019-3372
Phone
(202) 396-2331
NPI assigned
Jan 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Health Educator 174H00000X 13693
Pharmacist 183500000X 0202211247 VA
Pharmacist 183500000X PH100001022 DC Primary

Addresses

Primary practice location

320 40TH St NE
Washington, DC 20019-3372

Mailing address

6518 China Grove CT
Alexandria, VA 22310-2430
Phone (216) 288-9655

Other practice location 1

1201 S Hayes St
Arlington, VA 22202-2700
Phone (703) 418-3790

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
PH100001022DCMDPharmacist
0202211247VAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1306268701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 CHINA GROVE CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102430",
            "telephone_number": "216-288-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 40TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193372",
            "telephone_number": "202-396-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Hayes St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222022700",
            "country_code": "US",
            "telephone_number": "703-418-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENWONWU",
        "first_name": "CHINELO",
        "name_prefix": "Dr.",
        "credential": "PHARMD,MPH,CHES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2022-03-11",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": "13693",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211247",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100001022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.