Provider Demographics
NPI:1477737757
Name:NWAOZO, NNEKA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NNEKA
Middle Name:
Last Name:NWAOZO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:NNEKA
Other - Middle Name:
Other - Last Name:NOLISA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21B KNOLLS CRESCENT
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463
Mailing Address - Country:US
Mailing Address - Phone:718-432-3030
Mailing Address - Fax:718-432-3037
Practice Address - Street 1:21 B KNOLLS CRESCENT
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463
Practice Address - Country:US
Practice Address - Phone:718-432-3030
Practice Address - Fax:718-432-3037
Is Sole Proprietor?:No
Enumeration Date:2007-12-22
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051312-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00913759Medicaid