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1396356234 NPI number — CHUKWUMA GOODLUCK NDUKWE PHARM D

NPI Number: 1396356234
Health Care Provider/Practitioner: CHUKWUMA GOODLUCK NDUKWE PHARM D

Information about “1396356234” NPI (CHUKWUMA GOODLUCK NDUKWE PHARM D) exists in 1396356234 in HTML format HTML  |  1396356234 in plain Text format TXT  |  1396356234 in PDF (Portable Document Format) PDF  |  1396356234 in an XML format XML  formats.

NPI Number : 1396356234 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396356234",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NDUKWE",
    "FirstName": "CHUKWUMA",
    "MiddleName": "GOODLUCK",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PHARM D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "54 BOSTON POST RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORANGE",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06477-3201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-795-6001",
    "MailingAddressFaxNumber": "203-795-1184",
    "FirstLinePracticeLocationAddress": "54 BOSTON POST RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORANGE",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06477-3201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-795-6001",
    "PracticeLocationAddressFaxNumber": "203-795-1184",
    "EnumerationDate": "08/13/2020",
    "LastUpdateDate": "08/13/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "PCT.0013778",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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