AWUDU IMORO (NPI# 1316544232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316544232 |
| Entity Type | Individual |
| Full Name | AWUDU IMORO |
| Credential | PHARMD |
| Practice Address |
7502 Southtown Xing Fort Wayne IN 46816-2515 |
| Mailing Address |
2732 Ascension Ct Fort Wayne IN 46818-8537 |
| Practice Telephone | 2604417083 |
| Practice Fax Number | 2604417085 |
| Mailing Telephone | 2602062811 |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2020-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26025898A | IN | Pharmacy Service Providers |
| Street Address |
7502 SOUTHTOWN XING |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46816-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942211461 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7502 Southtown Xing, Fort Wayne, IN 46816-2515 | 2006-08-10 |
| 1467059386 | Karen Pawlak | Pharmacist | 7502 Southtown Xing, Fort Wayne, IN 46816-2515 | 2020-10-04 |
| 1073613337 | Wal-mart Stores East, Lp | Technician/Technologist | 7502 Southtown Xing, Fort Wayne, IN 46816-2515 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841769270 | Brian Bernard Conaway | Occupational Therapist | 7125 S Hanna St, Fort Wayne, IN 46816 | 2018-11-14 |
| 1073006938 | Fort Wayne Aal Lp | Assisted Living Facility | 7125 S Hanna Street, Fort Wayne, IN 46816 | 2018-06-14 |
| 1811282064 | Connisha Sanders | Occupational Therapy Assistant | 8309, Bridgeway Cir Apt 3a, Fort Wayne, IN 46816 | 2011-06-16 |
| 1144239609 | James J Bohlin | Dentist | 7524 South Anthony Blvd., Fort Wayne, IN 46816 | 2006-08-05 |
| 1578594537 | K Mart Corp | Pharmacy | 7530 S Anthony Blvd, Fort Wayne, IN 46816 | 2006-07-06 |
| 1720540503 | Jill Ann Woodward | Occupational Therapy Assistant | 7125 S Hanna St, Fort Wayne, IN 46816 | 2019-04-02 |
| 1639163884 | Patrice C Ellingson | Optometrist | 1515 E Paulding Rd, Fort Wayne, IN 46816 | 2005-09-02 |
| 1114140134 | Jon D. Ingleman | Dentist | 223 E Tillman Rd, Fort Wayne, IN 46816-1016 | 2007-04-10 |
| 1538189063 | Yoder/rahrig Family Dentistry | Dentist | 333 E Tillman Rd, Fort Wayne, IN 46816-1017 | 2006-07-20 |
| 1619997137 | Gerald J. Rahrig | Dentist | 333 E Tillman Rd, Fort Wayne, IN 46816-1017 | 2006-07-20 |
| Find all providers in zip 46816 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1528677622 | Leslie Renee Siegel | Pharmacist | 11109 Parkview Plaza Dr # 1, Fort Wayne, IN 46845-1701 | 2020-07-24 |
| 1962048140 | Andrew Quang Tran | Pharmacist | 6202 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 | 2019-11-21 |
| 1467005991 | Nicholas Selby | Pharmacist | 6220 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 | 2019-07-23 |
| 1215427042 | Jerry Eugene Falls | Pharmacist | 9817 Chapmans Blvd, Fort Wayne, IN 46835-9194 | 2018-05-17 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1063900611 | Juliette Peters | Pharmacist | 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 | 2018-04-30 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1790238350 | Karleen Goodwin | Pharmacist | 3964 New Vision Dr, Fort Wayne, IN 46845-1712 | 2016-08-01 |
| 1699131300 | Brent Alan Losier | Pharmacist | 3537 N Anthony Blvd, Suite A, Fort Wayne, IN 46805-1423 | 2016-01-11 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46816 |
Please comment or provide details below to improve the information on AWUDU IMORO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.