Individual provider Active NPI

Harold Okocha

  • Pharmacist
  • Colorado Springs, CO
National Provider Identifier
1255894424
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0019681 Issued in CO
Practice address
4020 Palmer Park Blvd
Colorado Springs, CO 80909
Phone
(719) 577-9977
Fax
(719) 577-9911
NPI assigned
Apr 12, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0019681 CO Primary

Addresses

Primary practice location

4020 Palmer Park Blvd
Colorado Springs, CO 80909

Mailing address

4020 Palmer Park Blvd
Colorado Springs, CO 80909-3402
Phone (719) 577-9977

Other practice location 1

4020 Palmer Park Blvd
Colorado Springs, CO 80909
Phone (719) 577-9977

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lakewood

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)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1255894424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PALMER PARK BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093402",
            "telephone_number": "719-577-9977",
            "fax_number": "719-577-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PALMER PARK BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-577-9977",
            "fax_number": "719-577-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Palmer Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80909",
            "country_code": "US",
            "telephone_number": "719-577-9977",
            "fax_number": "719-577-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOCHA",
        "first_name": "HAROLD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0019681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lakewood",
            "affiliation": "N",
            "address_1": "440 Wadsworth Blvd",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802261510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.