NPIMap

Individual provider Active NPI

Chukwuedozie H Okotcha, RPH

  • Pharmacist
  • Ephrata, WA
National Provider Identifier
1033401591
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60137581 Issued in WA
Practice address
250 Basin St SW
Ephrata, WA 98823-1852
Phone
(509) 754-3513
Fax
(509) 754-2714
NPI assigned
May 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60137581 WA Primary

Addresses

Primary practice location

250 Basin St SW
Ephrata, WA 98823-1852

Mailing address

250 Basin St SW
Ephrata, WA 98823-1852
Phone (509) 754-3513

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH60137581WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Crowns Pharmacy LLC Current Accepting new patients
Crowns Pharmacy LLC Current Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Organizations & group practices 4

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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1033401591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BASIN ST SW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231852",
            "telephone_number": "509-754-3513",
            "fax_number": "509-754-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BASIN ST SW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231852",
            "telephone_number": "509-754-3513",
            "fax_number": "509-754-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOTCHA",
        "first_name": "CHUKWUEDOZIE",
        "middle_name": "H",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60137581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.