Individual provider Active NPI

Osatohanmwen Kimberly Okunbor, PHARM D

  • Pharmacist
  • Trussville, AL
National Provider Identifier
1326320193
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16345 Issued in AL
Practice address
6135 Hidden Brook Dr
Trussville, AL 35173-2374
Phone
(205) 661-1041
NPI assigned
Sep 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16345 AL Primary

Addresses

Primary practice location

6135 Hidden Brook Dr
Trussville, AL 35173-2374

Mailing address

6135 Hidden Brook Drive
Trussville, AL 35173
Phone (205) 833-6882

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

State licenses

LicenseStateTypeSpecialty
16345ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1326320193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 HIDDEN BROOK DRIVE",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "35173",
            "telephone_number": "205-833-6882",
            "fax_number": "205-833-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 HIDDEN BROOK DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732374",
            "telephone_number": "205-661-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNBOR",
        "first_name": "OSATOHANMWEN",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.