Provider Demographics
NPI:1457791097
Name:ONWUDIWE, NNEKA C (PHARMD, PHD, MBA)
Entity Type:Individual
Prefix:
First Name:NNEKA
Middle Name:C
Last Name:ONWUDIWE
Suffix:
Gender:F
Credentials:PHARMD, PHD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10746
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20914-0746
Mailing Address - Country:US
Mailing Address - Phone:301-580-1688
Mailing Address - Fax:
Practice Address - Street 1:505 MARKET ST
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-3861
Practice Address - Country:US
Practice Address - Phone:301-580-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17165183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist