Individual provider Active NPI

Oliver E Nkwonta, PHARMD

  • Pharmacist
  • Plainfield, NJ
National Provider Identifier
1215088778
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2009300 Issued in NJ
Practice address
701 Park Ave
Plainfield, NJ 07060-1636
Phone
(908) 754-1600
Fax
(908) 756-6270
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02009300 NJ
Pharmacist 183500000X 2009300 NJ Primary

Addresses

Primary practice location

701 Park Ave
Plainfield, NJ 07060-1636

Mailing address

701 Park Ave
Plainfield, NJ 07060-1636
Phone (908) 754-1600

Other identifiers 1

IdentifierTypeStateIssuer
8546304MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Surescript

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2009300NJMDPharmacist
28RI02009300NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Onyeze, Inc Current Accepting new patients
Onyeze, Inc Current Accepting new patients
Clinicare Pharm PC Current Accepting new patients

Locations

701 Park Ave
Plainfield, NJ 07060
Phone (908) 754-1600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1215088778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601636",
            "telephone_number": "908-754-1600",
            "fax_number": "908-756-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601636",
            "telephone_number": "908-754-1600",
            "fax_number": "908-756-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWONTA",
        "first_name": "OLIVER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02009300",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "2009300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8546304",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Surescript",
            "affiliation": "N",
            "address_1": "701 Park Ave",
            "city": "Plainfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070601636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.