Chioma N Agwuncha, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051289783 Issued in IL

Practice address

1600 W Roosevelt Rd
Broadview, IL 60155-4024

Phone

(708) 343-5323

NPI assigned

Nov 13, 2011

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2011.

{
    "created_epoch": "1321142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321142400000",
    "number": "1811274285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 BOEGER AVE",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601544102",
            "telephone_number": "708-836-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W ROOSEVELT RD",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601554024",
            "telephone_number": "708-343-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGWUNCHA",
        "first_name": "CHIOMA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-13",
        "last_updated": "2011-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051289783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENCE NUMBER",
            "identifier": "051289783",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akinsmedicaltransportationcompany
• Victoria Alfafara, O.D.
• American Pharmacy Inc
• Ami Dental,N.Nathwani.D.D.S.LTD.
• Ambreen Ansari, RPH

• All providers in Broadview, IL
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.