Aisosa Deborah Okpogie, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

051300041 Issued in IL

Practice address

11 E 75TH St
Chicago, IL 60619-1601

Phone

(773) 224-1211

NPI assigned

Aug 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1073125845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 RUSSELL DR",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924583",
            "telephone_number": "510-589-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191601",
            "telephone_number": "773-224-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPOGIE",
        "first_name": "AISOSA",
        "middle_name": "DEBORAH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051300041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314228594",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "11 E 75th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606191601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Henry Okoroike, PHARMD
• Ivanna Yewande Okoya-Thomas
• Obianuju Okoye, MD
• Chukwudi Okpala, M.D.
• Grace M Okpali, MD CANDIDATE
• Ashley Okray, PA
• Justin L Okray
• Lindsay R Okrent, DPT
• Ahmet Afsin Oktay, M.D.
• Babatunde Gbolade Okuleye, M.D., MBA

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.