Individual provider Active NPI

Chioma Cynthia Nwaubani, PHARM.D

  • Pharmacist
  • Vienna, VA
National Provider Identifier
1518218254
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202209493 Issued in VA
Practice address
2817 Yeonas Dr
Vienna, VA 22180-6124
Phone
(703) 865-8212
NPI assigned
Sep 20, 2012
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH100000957 DC
Pharmacist 183500000X 0202209493 VA Primary

Addresses

Primary practice location

2817 Yeonas Dr
Vienna, VA 22180-6124

Mailing address

2817 Yeonas Dr
Vienna, VA 22180-6124
Phone (703) 865-8212

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
PH100000957DCMDPharmacist
0202209493VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1518218254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 YEONAS DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806124",
            "telephone_number": "703-865-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 YEONAS DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806124",
            "telephone_number": "703-865-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAUBANI",
        "first_name": "CHIOMA",
        "middle_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100000957",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202209493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.