Kenneth Etumudon Okwuegbe, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

59510 Issued in CA

Practice address

25158 Valley Oak Dr
Castro Valley, CA 94552-5467

Phone

(510) 481-2575

NPI assigned

Nov 9, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1225315971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25158 VALLEY OAK DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525467",
            "telephone_number": "510-481-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25158 VALLEY OAK DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525467",
            "telephone_number": "510-481-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWUEGBE",
        "first_name": "KENNETH",
        "middle_name": "ETUMUDON",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Terrence O'Brien, M.D.
• Zachary Gerard O'Leary, PA-C
• Oakside Family Counseling, Inc.
• Ricardo Ochoa
• Leana Offril
• Folakemi Omowumi Omole, RN
• Joel Marube Ondara
• Robert Michael Oneill, DDS
• Jeannette Kaye Ong, PHARM D
• Ruth Oppenheimer

• Pharmacist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.