Active NPI
Ebube Otuonye, PHARMACIST
- Pharmacist
- Wichita, KS
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-12971
- Practice address
- 2251 E 21St St N Ste 121
Neighborhood Pharmacy
Wichita, KS 67214-1976 - Phone
- (316) 665-4427
- NPI assigned
- Apr 22, 2017
- Last updated
- Apr 22, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-12971 | KS | Primary |
| Nuclear Pharmacist | 1835N0905X | 1-12971 | KS | |
| Ambulatory Care Pharmacist | 1835P2201X | 1-12971 | KS |
Addresses
Primary practice location
2251 E 21St St N Ste 121
Neighborhood Pharmacy
Wichita, KS 67214-1976
Mailing address
2251 E 21St St N Ste 121
Neighborhood Pharmacy
Wichita, KS 67214-1976
Phone (316) 665-4427
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-12971 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Pharmacy | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Wichita, KS
- NPI 1609001395
-
dba Neighborhood Pharmacy
- Community/Retail Pharmacy
- Wichita, KS
- NPI 1629588454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492819200000",
"number": "1194250688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 E 21ST ST N STE 121",
"address_2": "NEIGHBORHOOD PHARMACY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672141976",
"telephone_number": "316-665-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 E 21ST ST N STE 121",
"address_2": "NEIGHBORHOOD PHARMACY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672141976",
"telephone_number": "316-665-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTUONYE",
"first_name": "EBUBE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-22",
"last_updated": "2017-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-12971",
"primary": true
},
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "KS",
"license": "1-12971",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "KS",
"license": "1-12971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.