Nonye Gladys Anidobu
Individual provider Active NPI Pharmacist · Munster, IN
NPI 1356858294 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1356858294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26025948A (IN)
- Practice address
- 901 Macarthur Blvd
Munster, IN 46321-2901 - Phone
- (219) 703-1221
- NPI assigned
- Dec 31, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.298010 | IL | MD | Pharmacist |
| 26025948A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26025948A | IN | Yes |
| Pharmacist | 183500000X | 051.298010 | IL |
Addresses
Primary practice location
901 Macarthur Blvd
Munster, IN 46321-2901
Mailing address
3031 Elliot LN
Homewood, IL 60430-2849
Phone (708) 957-5001
Other practice location 1
2701 W 68th St
Chicago, IL 60629-1813
Phone (773) 884-4680
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.