Organization Active NPI

Ohene Pharmacy LLC

  • Health Maintenance Organization
  • Newark, NJ
National Provider Identifier
1376715912
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
28RS00638300 Issued in NJ
Legal business name
OHENE PHARMACY LLC
Practice address
393-395 South Orange Avenue
Newark, NJ 07103
Phone
(973) 622-4500
Fax
(973) 622-4504
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Philip Effah Okai
Title
Pharmacist
Phone
(973) 622-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 28RS00638300 NJ Primary

Addresses

Primary practice location

393-395 South Orange Avenue
Newark, NJ 07103

Mailing address

393-395 South Orange Avenue
Newark, NJ 07103
Phone (973) 622-4500

Other identifiers 2

IdentifierTypeStateIssuer
0038628MedicaidNJ
3146126OtherNJNAPB

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1376715912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393-395 SOUTH ORANGE AVENUE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-622-4500",
            "fax_number": "973-622-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393-395 SOUTH ORANGE AVENUE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-622-4500",
            "fax_number": "973-622-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHENE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "OKAI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "EFFAH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "973-622-4500"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "28RS00638300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038628",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "3146126",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.