Individual provider Active NPI

Chidozie Menakaya, PHARMD

  • Pharmacist
  • Fayetteville, NC
National Provider Identifier
1386002004
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25677 Issued in NC
Practice address
1550 Skibo Rd
Fayetteville, NC 28303-3478
Phone
(910) 868-5242
NPI assigned
Feb 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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 25677 NC Primary

Addresses

Primary practice location

1550 Skibo Rd
Fayetteville, NC 28303-3478

Mailing address

250 Sawtooth Dr Apt 7
Fayetteville, NC 28314-4528
Phone (774) 232-1644

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
25677NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1386002004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SAWTOOTH DR APT 7",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144528",
            "telephone_number": "774-232-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SKIBO RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033478",
            "telephone_number": "910-868-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENAKAYA",
        "first_name": "CHIDOZIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.