Provider Demographics
NPI:1871115956
Name:IGWEMADU, NNEKA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NNEKA
Middle Name:
Last Name:IGWEMADU
Suffix:
Gender:F
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:PO BOX 10903
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-3903
Mailing Address - Country:US
Mailing Address - Phone:401-588-1031
Mailing Address - Fax:
Practice Address - Street 1:SUNNY ISLES SHOPPING CENTER
Practice Address - Street 2:UNIT 1
Practice Address - City:ST.CROIX
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-719-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID-P85141835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist