Edem Tom Udoh-Afaha, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 39368 Issued in CA

Practice address

781 Sequoia Ave Ste 2
Lindsay Pharmacy
Lindsay, CA 93247-1448

Phone

(559) 562-7979

Fax

(559) 366-4570

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

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.

• Lindsay Pharmacy

  • Pharmacy
  • Lindsay, CA
  • NPI 1013359884
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1396961991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21537",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933901537",
            "telephone_number": "661-599-1767",
            "fax_number": "559-366-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 SEQUOIA AVE STE 2",
            "address_2": "LINDSAY PHARMACY",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932471448",
            "telephone_number": "559-562-7979",
            "fax_number": "559-366-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOH-AFAHA",
        "first_name": "EDEM",
        "middle_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 39368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY",
            "identifier": "PHY 51148",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tulare Local Health Care District
• Turning Point of Central California, Inc.
• Turning Point Youth Services
• Turning Point Youth Services
• Turning Point Youth Services
• Julia J Valle, DDS
• Valley Healthcare Centers
• Valley Healthcare Centers
• Eduardo Ramon Vargas-Deleon, NP-C
• Vida Sana Medical Group, Inc.

• Pharmacist in Lindsay, CA
• Providers in Lindsay, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.