Individual provider Active NPI

Ndidiamaka Okpareke, PHARMD, RPH

  • Integrative Medicine Physician
  • Rio Rancho, NM
National Provider Identifier
1265809537
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
MD2022-0654 Issued in NM
Practice address
1713 Wellspring Ave SE Ste a
Rio Rancho, NM 87124-4957
Phone
(505) 738-3328
Fax
(505) 214-5015
NPI assigned
Aug 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00007178 NM
Integrative Medicine Physician 202D00000X MD2022-0654 NM Primary

Addresses

Primary practice location

1713 Wellspring Ave SE Ste a
Rio Rancho, NM 87124-4957

Mailing address

1713 Wellspring Ave SE Ste a
Rio Rancho, NM 87124-4957
Phone (505) 738-3328

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
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP00007178NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Tree Wellness LLC CurrentSince Jul 23, 2024 Accepting new patients
Olive Tree Specialty LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

1713 Wellspring Ave SE
Ste A
Rio Rancho, NM 87124
Phone (505) 738-3328

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.

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1265809537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 WELLSPRING AVE SE STE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244957",
            "telephone_number": "505-738-3328",
            "fax_number": "505-214-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 WELLSPRING AVE SE STE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244957",
            "telephone_number": "505-738-3328",
            "fax_number": "505-214-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPAREKE",
        "first_name": "NDIDIAMAKA",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007178",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NM",
            "license": "MD2022-0654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.