Active NPI
Ayemoba Omo Braimah, PHARMD
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1346741477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S021156
- Practice address
- 8245 W Thomas Rd
Phoenix, AZ 85033-4722 - Phone
- (623) 849-1940
- NPI assigned
- Feb 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S021156 | AZ | Primary |
Addresses
Primary practice location
8245 W Thomas Rd
Phoenix, AZ 85033-4722
Mailing address
10900 S Pennsylvania Ave Apt 1136
Oklahoma City, OK 73170-4250
Phone (404) 704-4284
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
| License | State | Type | Specialty |
|---|---|---|---|
| S021156 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1346741477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 S PENNSYLVANIA AVE APT 1136",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731704250",
"telephone_number": "404-704-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8245 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850334722",
"telephone_number": "623-849-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAIMAH",
"first_name": "AYEMOBA",
"middle_name": "OMO",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.