Active NPI
Anayo Theodora Ogbonna
- Pharmacist
- Wilson, NC
National Provider Identifier
1255796819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24486
- Practice address
- 2700 Ward Blvd
Wilson, NC 27893-1756 - Phone
- (252) 640-6928
- Fax
- (252) 640-6933
- NPI assigned
- Dec 28, 2015
- Last updated
- Oct 22, 2024
- 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 | 24486 | NC | Primary |
Addresses
Primary practice location
2700 Ward Blvd
Wilson, NC 27893-1756
Mailing address
2700 Ward Blvd
Wilson, NC 27893-1756
Phone (252) 640-6928
Other practice location 1
7670 Clinton Rd
Stedman, NC 28391-8904
Phone (910) 484-5605
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 |
|---|---|---|---|
| 24486 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | 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.
-
dba Walmart Pharmacy 10-4545
- Community/Retail Pharmacy
- Wilson, NC
- NPI 1235513797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1255796819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WARD BLVD",
"city": "WILSON",
"state": "NC",
"postal_code": "278931756",
"telephone_number": "252-640-6928",
"fax_number": "252-640-6933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WARD BLVD",
"city": "WILSON",
"state": "NC",
"postal_code": "278931756",
"telephone_number": "252-640-6928",
"fax_number": "252-640-6933"
}
],
"practiceLocations": [
{
"address_1": "7670 Clinton Rd",
"address_purpose": "LOCATION",
"city": "Stedman",
"state": "NC",
"postal_code": "283918904",
"country_code": "US",
"telephone_number": "910-484-5605",
"fax_number": "910-484-5810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGBONNA",
"first_name": "ANAYO",
"middle_name": "THEODORA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-28",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
- North Carolina in-Home Partner-VIII, LLC (Home Health of Wilson)
- North Carolina Physicians Eyecare Group, P.C.
- North Carolina School for the Deaf
- Jennifer Annschultheis O'Donoghue, PHD, LAT, ATC, CSCS
- Renee Odom Thompson
- Young-Mi Oh, D.D.S.
- Oliver Enterprise (progressive behavioral services)
- Omnicare of Carolina
- Once More, LLC
- Onestop Therapeutics and Support Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.