Active NPI
Paul Okwuchukwu Nduka, PHARMACIST
- Pharmacist
- Paoli, PA
National Provider Identifier
1619567112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP044772L
- Practice address
- 1776 E Lancaster Ave
Paoli, PA 19301-1550 - Phone
- (610) 647-4366
- NPI assigned
- Jan 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | RP044772L | PA | Primary |
Addresses
Primary practice location
1776 E Lancaster Ave
Paoli, PA 19301-1550
Mailing address
250 Beverly Blvd Apt I205
Upper Darby, PA 19082-4566
Phone (610) 585-0574
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 |
|---|---|---|---|
| RP044772L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1619567112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 BEVERLY BLVD APT I205",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190824566",
"telephone_number": "610-585-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 E LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011550",
"telephone_number": "610-647-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDUKA",
"first_name": "PAUL",
"middle_name": "OKWUCHUKWU",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP044772L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.