Active NPI
Azuka E Obianwu, RPH
- Pharmacist
- Mount Ephraim, NJ
National Provider Identifier
1780964247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02251700
- Practice address
- 20 W Kings Hwy
Walgreens Pharmacy
Mount Ephraim, NJ 08059-1303 - Phone
- (856) 931-2473
- Fax
- (856) 931-2575
- NPI assigned
- Aug 27, 2011
- Last updated
- Aug 27, 2011
- 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 | 28RI02251700 | NJ | Primary |
Addresses
Primary practice location
20 W Kings Hwy
Walgreens Pharmacy
Mount Ephraim, NJ 08059-1303
Mailing address
20 W Kings Hwy
Walgreens Pharmacy
Mount Ephraim, NJ 08059-1303
Phone (856) 931-2473
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02251700 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1314403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314403200000",
"number": "1780964247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 W KINGS HWY",
"address_2": "WALGREENS PHARMACY",
"city": "MOUNT EPHRAIM",
"state": "NJ",
"postal_code": "080591303",
"telephone_number": "856-931-2473",
"fax_number": "856-931-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W KINGS HWY",
"address_2": "WALGREENS PHARMACY",
"city": "MOUNT EPHRAIM",
"state": "NJ",
"postal_code": "080591303",
"telephone_number": "856-931-2473",
"fax_number": "856-931-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBIANWU",
"first_name": "AZUKA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-27",
"last_updated": "2011-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02251700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Ephraim, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.