Provider Demographics
NPI:1801698931
Name:OSAKWE, NANCY CHIBUOGU
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CHIBUOGU
Last Name:OSAKWE
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:CHIBUOGU
Other - Last Name:OSEMEKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3021 TERRA VIEW DR SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-2428
Mailing Address - Country:US
Mailing Address - Phone:678-628-7271
Mailing Address - Fax:678-628-7271
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0252731835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist