Provider Demographics
NPI:1295442945
Name:CHUKWU, JOSEPH NNAMDI JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NNAMDI
Last Name:CHUKWU
Suffix:JR
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 1:8214 CHESTHUNT PLACE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-7582
Mailing Address - Country:US
Mailing Address - Phone:919-771-6499
Mailing Address - Fax:
Practice Address - Street 1:2002 SHILOH CHURCH RD
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-9550
Practice Address - Country:US
Practice Address - Phone:704-439-3460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2065717Medicaid