Active NPI
Chidinma Maduekwe
- Pharmacist
- Tappan, NY
National Provider Identifier
1629515762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061384
- Practice address
- 81 Route 303
Tappan, NY 10983-2807 - Phone
- (845) 792-3006
- NPI assigned
- Jan 27, 2017
- Last updated
- Jan 26, 2023
- Sex
- Female
- 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 | 061384 | NY | Primary |
Addresses
Primary practice location
81 Route 303
Tappan, NY 10983-2807
Mailing address
81 Route 303
Tappan, NY 10983-2807
Phone (845) 792-3006
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 |
|---|---|---|---|
| 061384 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
81 Route 303
Tappan, NY 10983
Phone (845) 499-6470
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": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1629515762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 ROUTE 303",
"city": "TAPPAN",
"state": "NY",
"postal_code": "109832807",
"telephone_number": "845-792-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 ROUTE 303",
"city": "TAPPAN",
"state": "NY",
"postal_code": "109832807",
"telephone_number": "845-792-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADUEKWE",
"first_name": "CHIDINMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tappan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.