Healthcare Provider Details

I. General information

NPI: 1952233496
Provider Name (Legal Business Name): JESSICA CHIOMA ORIZU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SILAS CREEK PKWY
WINSTON SALEM NC
27103-3013
US

IV. Provider business mailing address

2450 NORTHWICK DR APT 205
WINSTON SALEM NC
27103-6492
US

V. Phone/Fax

Practice location:
  • Phone: 704-316-8533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34263
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: