Active NPI
Daniel Ogbefho
- Pharmacist
- Fayetteville, PA
National Provider Identifier
1255804688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP453106
- Practice address
- 5035 Lincoln Way E
Fayetteville, PA 17222-1045 - Phone
- (717) 352-3850
- NPI assigned
- Jan 8, 2019
- Sex
- Male
- 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 | RP453106 | PA | Primary |
Addresses
Primary practice location
5035 Lincoln Way E
Fayetteville, PA 17222-1045
Mailing address
43850 Timber SQ Unit 208
Leesburg, VA 20176-3457
Phone (571) 279-3246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP453106 | Other | PA | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| RP453106 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
-
- Community/Retail Pharmacy
- Fayetteville, PA
- NPI 1992894620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1255804688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43850 TIMBER SQ UNIT 208",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201763457",
"telephone_number": "571-279-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5035 LINCOLN WAY E",
"city": "FAYETTEVILLE",
"state": "PA",
"postal_code": "172221045",
"telephone_number": "717-352-3850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBEFHO",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RP453106",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, PA
- Kevin John List, PT
- Lumos Behavioral Health Fayetteville, LLC
- Tejas Nirmalkumar Narechania, PHARMACIST
- Yin Keong Ngeow, M.D.
- Jason Christopher Oday
- Paul Douglas Orange, M.D.
- Paramount Health Holdings Group, Inc.
- Paramount Nursing and Rehabilitation at Fayetteville, LLC
- Passage Village of Laurel Run Operations, LLC
- Piney Partners LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.