Individual provider Active NPI

Osarhieme C Igbinoba Okojie, RPH

  • Pharmacist
  • Stone Mountain, GA
National Provider Identifier
1043462575
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18092 Issued in GA
Practice address
5529 Redan Cir Ste B
Stone Mountain, GA 30088-3411
Phone
(678) 694-8836
Fax
(678) 694-8839
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18092 GA Primary

Addresses

Primary practice location

5529 Redan Cir Ste B
Stone Mountain, GA 30088-3411

Mailing address

5529 Redan Cir Ste B
Stone Mountain, GA 30088-3411
Phone (678) 694-8836

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)
Enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
18092GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Pharmacy Inc Current Accepting new patients
Comfort Pharmacy Inc CurrentSince Apr 10, 2020 Accepting new patients

Locations

4825 Rockbridge Rd
Ste 5
Stone Mountain, GA 30083
Phone (404) 297-3456

5529 Redan Cir
#B
Stone Mountain, GA 30088
Phone (678) 694-8836

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1043462575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 REDAN CIR STE B",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883411",
            "telephone_number": "678-694-8836",
            "fax_number": "678-694-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 REDAN CIR STE B",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883411",
            "telephone_number": "678-694-8836",
            "fax_number": "678-694-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBINOBA OKOJIE",
        "first_name": "OSARHIEME",
        "middle_name": "C",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "18092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.