Individual provider Active NPI

Osominomo Garba

  • Pharmacist
  • Newark, DE
National Provider Identifier
1194594762
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0015954 Issued in DE
Practice address
800 Christiana Mall
Newark, DE 19702-3216
Phone
(302) 668-4009
NPI assigned
Dec 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 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 A1-0015954 DE Primary

Addresses

Primary practice location

800 Christiana Mall
Newark, DE 19702-3216

Mailing address

305 Tollhouse PL Apt 204H
Dover, DE 19904-9728
Phone (301) 455-5567

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

LicenseStateTypeSpecialty
A1-0015954DEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1194594762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 TOLLHOUSE PL APT 204H",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199049728",
            "telephone_number": "301-455-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CHRISTIANA MALL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023216",
            "telephone_number": "302-668-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBA",
        "first_name": "OSOMINOMO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0015954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.