Nnenna Frances Ichoku, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH241449 Issued in MA

Practice address

710 E Broadway
Boston, MA 02127-1504

Phone

(857) 225-9997

NPI assigned

Apr 18, 2023

Sex

Female

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1518654904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 NESHAMINY VALLEY DR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201138",
            "telephone_number": "857-225-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E BROADWAY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271504",
            "telephone_number": "857-225-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICHOKU",
        "first_name": "NNENNA",
        "middle_name": "FRANCES",
        "name_prefix": "Miss",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH241449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Guirguis Ibrahim, PA-C
• Eldina Ibric
• Oghosa Clinton Ibude, M.D.
• Elaine Icban, O.D.
• Fumito Ichinose, MD
• Icontrolmyhealth, Inc.
• John Ictech-Cassis
• Ross USA Icyda, D.M.D.
• Esemuede Henry Idada
• Alexander John Phelan Idarraga

• Pharmacist in Boston, MA
• Providers in Boston, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.