Individual provider Active NPI

Judith Chidiebere Nwamadi, PHARM.D

  • Pharmacist
  • Duluth, GA
National Provider Identifier
1386698496
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH022309 Issued in GA
Practice address
2170 Executive Dr
Duluth, GA 30096-8969
Phone
(770) 935-1155
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH022309 GA Primary

Addresses

Primary practice location

2170 Executive Dr
Duluth, GA 30096-8969

Mailing address

2170 Executive Dr
Duluth, GA 30096-8969
Phone (770) 935-1155

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
RPH022309GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1386698496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 EXECUTIVE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968969",
            "telephone_number": "770-935-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 EXECUTIVE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968969",
            "telephone_number": "770-935-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAMADI",
        "first_name": "JUDITH",
        "middle_name": "CHIDIEBERE",
        "name_prefix": "Miss",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.