Individual provider Active NPI

Calista Ijeoma Chukwu, PHARMACIST, RN

  • Pharmacist
  • Angier, NC
National Provider Identifier
1790935930
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18613 Issued in NC
Practice address
9641 Bitter Melon Dr
Angier, NC 27501-5917
Phone
(919) 639-6030
Fax
(919) 639-6036
NPI assigned
Sep 24, 2008
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 175399 NC
Pharmacist 183500000X 18613 NC Primary

Addresses

Primary practice location

9641 Bitter Melon Dr
Angier, NC 27501-5917

Mailing address

251 Avocet LN
Clayton, NC 27520-6575
Phone (919) 398-4693

Other names 1

  • Dr. Calista Ijeoma Nwomeh Former name

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 Nurse

State licenses

LicenseStateTypeSpecialty
175399NCMDRegistered Nurse
18613NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Pharmacy Services, LLC CurrentSince Dec 15, 2024 Accepting new patients
Allcare Pharmacy Services, LLC Current Accepting new patients

Locations

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

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1790935930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 AVOCET LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275206575",
            "telephone_number": "919-398-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 BITTER MELON DR",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275015917",
            "telephone_number": "919-639-6030",
            "fax_number": "919-639-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWU",
        "first_name": "CALISTA",
        "middle_name": "IJEOMA",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "175399",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALISTA",
            "last_name": "NWOMEH",
            "middle_name": "IJEOMA",
            "prefix": "DR.",
            "credential": "PHARM-D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 4, 2021; 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.