Active NPI
Judith Ezenwanyi Nwachukwu, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Wilmington, DE
National Provider Identifier
1891930251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- A1-0003585
- Practice address
- 1601 Kirkwood Hwy
Wilmington Veterans Affairs Medical Center
Wilmington, DE 19805-4917 - Phone
- (302) 994-2511
- NPI assigned
- Dec 12, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 20 052034 | NY | |
| Oncology Pharmacist | 1835X0200X | 18055 | MD | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | A1-0003585 | DE | Primary |
Addresses
Primary practice location
1601 Kirkwood Hwy
Wilmington Veterans Affairs Medical Center
Wilmington, DE 19805-4917
Mailing address
905 Benalli Dr
Middletown, DE 19709-6121
Phone (267) 246-8454
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0003585 | DE | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 20 052034 | NY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 18055 | MD | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1891930251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 BENALLI DR",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197096121",
"telephone_number": "267-246-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 KIRKWOOD HWY",
"address_2": "WILMINGTON VETERANS AFFAIRS MEDICAL CENTER",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198054917",
"telephone_number": "302-994-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWACHUKWU",
"first_name": "JUDITH",
"middle_name": "EZENWANYI",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-12",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NY",
"license": "20 052034",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "MD",
"license": "18055",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "DE",
"license": "A1-0003585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.