Active NPI
Nwamaka Vivian Okonkwo
- Pharmacist
- Decatur, GA
National Provider Identifier
1255613162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022731
- Practice address
- 2065 S Hairston Rd
Decatur, GA 30035-2504 - Phone
- (770) 322-1290
- Fax
- (770) 323-0333
- NPI assigned
- Sep 16, 2011
- Last updated
- Sep 16, 2011
- Sex
- Female
- 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 | RPH022731 | GA | Primary |
Addresses
Primary practice location
2065 S Hairston Rd
Decatur, GA 30035-2504
Mailing address
3551 Hedgestone LN
Snellville, GA 30078-8810
Phone (678) 516-1804
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 |
|---|---|---|---|
| RPH022731 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lean on Me Health Care Agency | Current | Accepting new patients | |
| Ack Compounding Pharmacy | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ack Compounding and Retail Pharmacy
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1891519690
-
- Home Health Agency
- Snellville, GA
- NPI 1245101252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1255613162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 HEDGESTONE LN",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300788810",
"telephone_number": "678-516-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 S HAIRSTON RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300352504",
"telephone_number": "770-322-1290",
"fax_number": "770-323-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKONKWO",
"first_name": "NWAMAKA",
"middle_name": "VIVIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.