Organization Active NPI

Allcare Pharmacy Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Angier, NC
National Provider Identifier
1780813394
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALLCARE PHARMACY SERVICES, LLC
Practice address
9641 Bitter Melon Drive
Angier, NC 27501-5917
Phone
(919) 639-6030
Fax
(919) 639-6038
NPI assigned
Jul 6, 2009
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Dr. Calista Ijeoma Chukwu, PHARM-DNPI 1790935930
Title
Pharmacist Manager
Phone
(919) 639-6030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X 10321 NC

Addresses

Primary practice location

9641 Bitter Melon Drive
Angier, NC 27501-5917

Mailing address

9641 Bitter Melon Drive
Angier, NC 27501-5917
Phone (919) 639-6030

Other identifiers 1

IdentifierTypeStateIssuer
0515644MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131118000973 NC Part B Supplier - Mass Immunization (Roster Biller Only) 9931366390 Practice locations: Angier, NC

National Provider Directory

National Provider Directory

Locations

9641 Bitter Melon Dr
Angier, NC 27501
Phone (919) 639-6030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1780813394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9641 BITTER MELON DRIVE",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275015917",
            "telephone_number": "919-639-6030",
            "fax_number": "919-639-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 BITTER MELON DRIVE",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275015917",
            "telephone_number": "919-639-6030",
            "fax_number": "919-639-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "CHUKWU",
        "authorized_official_first_name": "CALISTA",
        "authorized_official_middle_name": "IJEOMA",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "919-639-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM-D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515644",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angier, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.