Provider Demographics
NPI:1023413697
Name:AMADI, CHIDI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHIDI
Middle Name:
Last Name:AMADI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 BLOOMFIELD PASS CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3768
Mailing Address - Country:US
Mailing Address - Phone:281-683-6270
Mailing Address - Fax:
Practice Address - Street 1:2906 HOUSTON HWY
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-4681
Practice Address - Country:US
Practice Address - Phone:361-576-5458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist