Ijeoma Vivian Chimezie, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

39363 Issued in TN

Practice address

216 Dover Rd
Clarksville, TN 37042-4156

Phone

(931) 436-9580

Fax

(931) 436-9579

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1578069597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424156",
            "telephone_number": "931-436-9580",
            "fax_number": "931-436-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424156",
            "telephone_number": "931-436-9580",
            "fax_number": "931-436-9579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Dover Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370424156",
            "country_code": "US",
            "telephone_number": "931-436-9580",
            "fax_number": "931-436-9579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIMEZIE",
        "first_name": "IJEOMA",
        "middle_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "39363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Michelle Childers, M.S.
• Kathryn Leah Childers, APRN
• Mandy Childers, FNP-C
• Samantha Marie Childers, OTR
• Childrens Dentist
• Danielle Choate
• Jane Jungeon Choi, M.D.
• Shahana Ashraf Choudhury, MD
• Chris' Home, Inc.
• Adrienne Renee Christensen, PHARM.D.

• Pharmacist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.