Individual provider Active NPI

Chinedum O Kammelu, PHARM.D.

  • Pharmacist
  • Keene, NH
National Provider Identifier
1356984744
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHCY00937 Issued in NH
Practice address
354 Winchester St
Keene, NH 03431-3936
Phone
(603) 352-6969
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHCY00937 NH Primary

Addresses

Primary practice location

354 Winchester St
Keene, NH 03431-3936

Mailing address

555 Canal St Apt 910
Manchester, NH 03101-1519
Phone (774) 701-2540

Other identifiers 1

IdentifierTypeStateIssuer
30MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chinedum.o.kammelu@riteaid.com

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
PHCY00937NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shaws Supermarkets Inc PastSince Oct 20, 2019 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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1356984744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CANAL ST APT 910",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011519",
            "telephone_number": "774-701-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 WINCHESTER ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313936",
            "telephone_number": "603-352-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMELU",
        "first_name": "CHINEDUM",
        "middle_name": "O",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY00937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chinedum.o.kammelu@riteaid.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "354 Winchester St",
            "city": "Keene",
            "state": "NH",
            "country_code": "US",
            "postal_code": "034313936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.