Active NPI
Chituo Nwoga
- Pharmacist
- Reston, VA
National Provider Identifier
1679357289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207004
- Practice address
- 11670 Plaza America Dr
Reston, VA 20190-4700 - Phone
- (703) 481-5722
- NPI assigned
- Aug 23, 2023
- Last updated
- Aug 23, 2023
- Sex
- Female
- 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 | 0202207004 | VA | Primary |
Addresses
Primary practice location
11670 Plaza America Dr
Reston, VA 20190-4700
Mailing address
1222 Riley Preserve CT
Great Falls, VA 22066-2314
Phone (202) 203-8575
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 |
|---|---|---|---|
| 0202207004 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Virginia CVS Pharmacy, LLC | 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": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1679357289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 RILEY PRESERVE CT",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220662314",
"telephone_number": "202-203-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11670 PLAZA AMERICA DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201904700",
"telephone_number": "703-481-5722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWOGA",
"first_name": "CHITUO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.