Individual provider Active NPI

Chigozirim Obiekwe, PHARMD

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1306292990
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
IL051.296154 Issued in IL
Practice address
11730 S Marshfield Ave
Chicago, IL 60643-4904
Phone
(773) 568-8370
Fax
(773) 568-8656
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IL051.296154 IL Primary

Addresses

Primary practice location

11730 S Marshfield Ave
Chicago, IL 60643-4904

Mailing address

11730 S Marshfield Ave
Chicago, IL 60643-4904
Phone (773) 568-8370

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
IL051.296154ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Drug Stores LLC Past Accepting new patients
American Drug Stores LLC Past Accepting new patients

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1306292990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11730 S MARSHFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434904",
            "telephone_number": "773-568-8370",
            "fax_number": "773-568-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11730 S MARSHFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434904",
            "telephone_number": "773-568-8370",
            "fax_number": "773-568-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIEKWE",
        "first_name": "CHIGOZIRIM",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "IL051.296154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.