NPIMap

Individual provider Active NPI

Christopher O Chidueme, PHARMD

  • Pharmacist
  • Rockville, MD
National Provider Identifier
1356719611
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23301 Issued in MD
Practice address
360 Hungerford Dr
Rockville, MD 20850-4167
Phone
(301) 279-9144
Fax
(301) 610-6613
NPI assigned
Sep 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23301 MD Primary

Addresses

Primary practice location

360 Hungerford Dr
Rockville, MD 20850-4167

Mailing address

360 Hungerford Dr
Rockville, MD 20850-4167
Phone (301) 279-9144

Other identifiers 1

IdentifierTypeStateIssuer
23301OtherMDPHARMACIST LICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc. Past Accepting new patients

Organizations & group practices 1

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1356719611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 HUNGERFORD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504167",
            "telephone_number": "301-279-9144",
            "fax_number": "301-610-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HUNGERFORD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504167",
            "telephone_number": "301-279-9144",
            "fax_number": "301-610-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDUEME",
        "first_name": "CHRISTOPHER",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "23301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.