Active NPI
Chibuzor Oku
- Pharmacist
- Irvington, NJ
National Provider Identifier
1114643392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04279600
- Practice address
- 810 Springfield Ave
Irvington, NJ 07111-3616 - Phone
- (862) 236-1348
- NPI assigned
- Oct 18, 2022
- 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 | 28RI04279600 | NJ | Primary |
Addresses
Primary practice location
810 Springfield Ave
Irvington, NJ 07111-3616
Mailing address
29 Ridgewood Ave
Irvington, NJ 07111-1504
Phone (732) 298-4874
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 |
|---|---|---|---|
| 28RI04279600 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
810 Springfield Ave
Irvington, NJ 07111
Phone (862) 236-1348
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.
-
- Pharmacy
- Irvington, NJ
- NPI 1316482078
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1114643392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 RIDGEWOOD AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111504",
"telephone_number": "732-298-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 SPRINGFIELD AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071113616",
"telephone_number": "862-236-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKU",
"first_name": "CHIBUZOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04279600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.