Ogbonna Ede, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

41645 Issued in TN

Practice address

914 Greenlea Blvd
Gallatin, TN 37066-3284

Phone

(615) 451-5145

NPI assigned

Sep 3, 2020

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Gallatin, TN
  • NPI 1083818983
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1265046445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 FOXLAND BLVD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 GREENLEA BLVD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663284",
            "telephone_number": "615-451-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDE",
        "first_name": "OGBONNA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "41645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Dunn, NBC-HWC
• Lily Bell Durias
• Dva Renal Healthcare Inc
• Andrea Michelle Dyer, DPT
• Matthew Echan, BCBA
• Edgar Swan
• Edquity at the Margins
• Edward P Blochowiak
• Don J Elazar, MD
• Elevate Physical Therapy, Inc.

• Pharmacist in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.