Individual provider Active NPI

Walter Onuorah Adichie, RPH

  • Pharmacist
  • Quincy, MA
National Provider Identifier
1831963644
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH21068 Issued in MA
Practice address
42 Beale St
Quincy, MA 02170-2617
Phone
(617) 472-7534
NPI assigned
Nov 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH21068 MA Primary

Addresses

Primary practice location

42 Beale St
Quincy, MA 02170-2617

Mailing address

142 Morton St
Stoughton, MA 02072-3228
Phone (617) 504-8143

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

LicenseStateTypeSpecialty
PH21068MAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1831963644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MORTON ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723228",
            "telephone_number": "617-504-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BEALE ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702617",
            "telephone_number": "617-472-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADICHIE",
        "first_name": "WALTER",
        "middle_name": "ONUORAH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH21068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.