Prince Charles Chibuike Mbonu

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202221240 Issued in VA

Practice address

6851 Temie Lee Pkwy
Midlothian, VA 23112-2087

Phone

(804) 639-0439

NPI assigned

Jul 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Midlothian, VA
  • NPI 1407862865
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1427738616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22000 CABIN BRANCH AVE",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208713433",
            "telephone_number": "240-889-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 TEMIE LEE PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122087",
            "telephone_number": "804-639-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBONU",
        "first_name": "PRINCE CHARLES",
        "middle_name": "CHIBUIKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202221240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall L Mayfield, LCSW
• Robert E. Mayfield, MD
• Dianne Carter Mays
• Dustin Ryan Mays, OTR
• William Rigsby Mayville, PHARMD
• MC Medride LLC
• Kelly S McAuliffe, FNP
• Jessica J McBride, DDS
• Michael T McCarney, DC
• Beatrice Shavon McCarroll, MS, LMHP-R

• Pharmacist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.