Individual provider Active NPI

Chinye Nalls-Ahaiwe, PHARMD

  • Pharmacist
  • Redlands, CA
National Provider Identifier
1386048452
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71823 Issued in CA
Practice address
27320 W Lugonia Ave
Redlands, CA 92374-2041
Phone
(909) 307-1810
NPI assigned
Oct 17, 2014
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 71823 CA Primary

Addresses

Primary practice location

27320 W Lugonia Ave
Redlands, CA 92374-2041

Mailing address

5165 Walnut Ave
#18
Chino, CA 91710-5801
Phone (281) 796-1162

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
71823CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Careharbor LLC Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1386048452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5165 WALNUT AVE",
            "address_2": "#18",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105801",
            "telephone_number": "281-796-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27320 W LUGONIA AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742041",
            "telephone_number": "909-307-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLS-AHAIWE",
        "first_name": "CHINYE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.