Kelechi Chukwu, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH237865 Issued in MA

Practice address

310 Main St
Haverhill, MA 01830-5045

Phone

(978) 521-4671

Fax

(978) 374-8042

NPI assigned

Aug 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Haverhill, MA
  • NPI 1992710198
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1609488980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305045",
            "telephone_number": "978-521-4671",
            "fax_number": "978-374-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305045",
            "telephone_number": "978-521-4671",
            "fax_number": "978-374-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWU",
        "first_name": "KELECHI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY04428",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH237865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Chiodo
• Ronald Zacharia Chipato, LPN
• Courtney Choate, CCC-SLP
• Marianne A. Chojnicki, RN, CDE
• Theodora Christopher, MD
• Marie Annette Ciaramitaro, RN
• Carissa Marie Cicolini, TT&S
• Mari Carmen Cintron, LICSW
• Gianna Cioto, MA
• City of Haverhill

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.