Individual provider Active NPI

Emamoke E Obiebi, B.PHARM

  • Pharmacist
  • North Highlands, CA
National Provider Identifier
1346566528
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58273 Issued in CA
Practice address
6639 Watt Ave
Rite Aid Pharmacy
North Highlands, CA 95660-3607
Phone
(916) 332-2060
NPI assigned
Apr 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58273 CA Primary

Addresses

Primary practice location

6639 Watt Ave
Rite Aid Pharmacy
North Highlands, CA 95660-3607

Mailing address

140 Aviator Cir
Sacramento, CA 95835-1253
Phone (916) 928-9316

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

LicenseStateTypeSpecialty
58273CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1346566528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 AVIATOR CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351253",
            "telephone_number": "916-928-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 WATT AVE",
            "address_2": "RITE AID PHARMACY",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956603607",
            "telephone_number": "916-332-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIEBI",
        "first_name": "EMAMOKE",
        "middle_name": "E",
        "credential": "B.PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "58273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Highlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.