Chisom Ezenwoye, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60475633 Issued in WA

Practice address

16735 SE 272ND St
Covington, WA 98042-4942

Phone

(206) 883-6501

NPI assigned

May 5, 2015

Last updated

May 5, 2015By the provider in NPPES

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1609253061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 43RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183301",
            "telephone_number": "206-883-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16735 SE 272ND ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424942",
            "telephone_number": "206-883-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZENWOYE",
        "first_name": "CHISOM",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60475633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leta Kaye Eilers, MA00024665
• Michele N Elder, PHARMD
• Elizabeth a Warner MD Inc PS
• Mohamed Elshazzly, DO
• Eye Doctors Northwest PLLC (Advanced Eye Care of Covington)
• Sophia Farkas
• Deidre Louise Feeney, M.D.
• Daniel Frank Fernandez, ATC
• Megan Marie Ferris
• Kelsey Fielder, LMT

• Pharmacist in Covington, WA
• Providers in Covington, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.