Active NPI
Allcare Pharmacy Services, LLC
- Durable Medical Equipment & Medical Supplies
- Angier, NC
National Provider Identifier
1780813394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Calista Ijeoma Chukwu, PHARM-D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515644 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131118000973 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9931366390 | Practice locations: Angier, NC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Angier, NC
- NPI 1790935930
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.