Individual provider Active NPI

Christopher Nwakanma

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Liverpool, NY
National Provider Identifier
1689997173
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
044765 Issued in NY
Practice address
703 Oldliverpool Road
Rite Aid Pharmacy
Liverpool, NY 13088-4104
Phone
(315) 451-2765
NPI assigned
Mar 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 044765 NY Primary

Addresses

Primary practice location

703 Oldliverpool Road
Rite Aid Pharmacy
Liverpool, NY 13088-4104

Mailing address

703 Oldliverpool Road
Rite Aid Pharmacy
Liverpool, NY 13088-4104
Phone (315) 451-2765

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

LicenseStateTypeSpecialty
044765NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1689997173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 OLDLIVERPOOL ROAD",
            "address_2": "RITE AID PHARMACY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884104",
            "telephone_number": "315-451-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 OLDLIVERPOOL ROAD",
            "address_2": "RITE AID PHARMACY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884104",
            "telephone_number": "315-451-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAKANMA",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "044765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.