Provider Demographics
NPI:1467762575
Name:ANYADIKE, CHIOMA ADAMAKA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHIOMA
Middle Name:ADAMAKA
Last Name:ANYADIKE
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 1:21322 AURORA PARK DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3778
Mailing Address - Country:US
Mailing Address - Phone:832-258-2802
Mailing Address - Fax:
Practice Address - Street 1:21322 AURORA PARK DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3778
Practice Address - Country:US
Practice Address - Phone:832-527-7944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032300641835P0018X
TX458171835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist