Provider Demographics
NPI:1093966004
Name:CHIOMA, NANCY CHINYERE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CHINYERE
Last Name:CHIOMA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 EASTERN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-4153
Mailing Address - Country:US
Mailing Address - Phone:718-756-6026
Mailing Address - Fax:718-953-3720
Practice Address - Street 1:391 EASTERN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-4153
Practice Address - Country:US
Practice Address - Phone:718-756-6026
Practice Address - Fax:718-953-3720
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051400OtherLICENSE