Active NPI
Innocent Okoh
- Pharmacist
- Silver Spring, MD
National Provider Identifier
1093562142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17334
- Practice address
- 11890 Healing Way
Silver Spring, MD 20904-7917 - Phone
- (240) 637-5556
- NPI assigned
- May 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17334 | MD | Primary |
Addresses
Primary practice location
11890 Healing Way
Silver Spring, MD 20904-7917
Mailing address
8301 Governor Run
Ellicott City, MD 21043-3448
Phone (202) 415-5925
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17334 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1093562142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 GOVERNOR RUN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433448",
"telephone_number": "202-415-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11890 HEALING WAY",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047917",
"telephone_number": "240-637-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOH",
"first_name": "INNOCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.