Active NPI
Chinonso Ezendokwere
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1598369746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP449183
- Practice address
- 6601 N Broad St
Philadelphia, PA 19126-3223 - Phone
- (215) 924-1633
- NPI assigned
- Nov 29, 2020
- Last updated
- Nov 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP449183 | PA | Primary |
Addresses
Primary practice location
6601 N Broad St
Philadelphia, PA 19126-3223
Mailing address
6601 N Broad St
Philadelphia, PA 19126-3223
Phone (215) 924-1633
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | RxCONNECT | Health Information Exchange (HIE) | |
| CONNECT URL | RxCONNECT | Health Information Exchange (HIE) | |
| CONNECT URL | RxCONNECT | Health Information Exchange (HIE) | |
| CONNECT URL | RxCONNECT | Health Information Exchange (HIE) | |
| CONNECT URL | RxCONNECT | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP449183 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1598369746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191263223",
"telephone_number": "215-924-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191263223",
"telephone_number": "215-924-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZENDOKWERE",
"first_name": "CHINONSO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449183",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RxCONNECT",
"affiliation": "N",
"endpointDescription": "Transmit health information electronically",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6601 N Broad St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191263223",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RxCONNECT",
"affiliation": "N",
"endpointDescription": "Transmit health information electronically",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6601 N Broad St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191263223",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RxCONNECT",
"affiliation": "N",
"endpointDescription": "Transmit health information electronically",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6601 N Broad St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191263223",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RxCONNECT",
"affiliation": "N",
"endpointDescription": "Transmit health information electronically",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6601 N Broad St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191263223",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RxCONNECT",
"affiliation": "N",
"endpointDescription": "Transmit health information electronically",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6601 N Broad St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191263223",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.