Kenneth Chike Nwankwo, R.PH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30517 Issued in TX

Practice address

2817 Garden Oaks PL
Grand Prairie, TX 75052-4402

Phone

(214) 274-0023

NPI assigned

Feb 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1549670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549670400000",
    "number": "1730644196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 GARDEN OAKS PL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524402",
            "telephone_number": "214-274-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 GARDEN OAKS PL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524402",
            "telephone_number": "214-274-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "KENNETH",
        "middle_name": "CHIKE",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-09",
        "last_updated": "2019-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuru Behavioral Network LLC.
• Nutrition by Rina
• Ikechukwu A Nwabude, MD
• Caroline Onyekachi Nwachukwu, PMHNP
• Vitus Uchenna Nwafor, P.A.
• Michelle Nwankwor
• Ifeoma Eziokwu Nweke
• Lolin Nyokabi, NURSE
• Rachael Elaine O'Brien, D.D.S.
• Katherine O'Connor, MSN, FNP-C

• Community/Retail Pharmacy in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2019; 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.