Individual provider Active NPI

Ifeoma Okekearu, PHARMD

  • Pharmacist
  • Belton, MO
National Provider Identifier
1003411638
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2018032026 Issued in MO
Practice address
409 E North Ave
Belton, MO 64012-2016
Phone
(816) 331-9716
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2018032026 MO Primary

Addresses

Primary practice location

409 E North Ave
Belton, MO 64012-2016

Mailing address

5349 Highland Ave
Kansas City, MO 64110-2639
Phone (816) 914-3470

Other identifiers 1

IdentifierTypeStateIssuer
2018032026OtherMOLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RXCONNECT Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2018032026MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri CVS Pharmacy, L.L.C. PastSince Dec 6, 2020 Accepting new patients
Missouri CVS Pharmacy LLC PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1003411638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 HIGHLAND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641102639",
            "telephone_number": "816-914-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E NORTH AVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122016",
            "telephone_number": "816-331-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKEARU",
        "first_name": "IFEOMA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2018032026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2018032026",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RXCONNECT",
            "affiliation": "N",
            "endpointDescription": "STORAGE + EXCHANGE OF PHARMACY RELATED HEALTH/MEDICATION HISTORY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "409 E North Ave",
            "city": "Belton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640122016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.