Active NPI
Calista Ijeoma Chukwu, PHARMACIST, RN
- Pharmacist
- Angier, NC
National Provider Identifier
1790935930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18613
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 175399 | NC | MD | Registered Nurse |
| 18613 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Pharmacy Services, LLC | Current | 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.
-
- Long Term Care Pharmacy
- Angier, NC
- NPI 1639985187
-
- Durable Medical Equipment & Medical Supplies
- Angier, NC
- NPI 1780813394
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.