Isaiah Etuonu Okoh, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302037470 Issued in MI

Practice address

14820 Mack Ave
Rite Aid Pharmacy #7758
Detroit, MI 48215-2526

Phone

(313) 331-1038

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Pharmacist

State licenses

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.

• Gracee Pharmacy PLLC

  • Community/Retail Pharmacy
  • Highland Park, MI
  • NPI 1295212124
  NPD Authorized official
• Gracee Pharmacy PLLC

  • Community/Retail Pharmacy
  • Dearborn, MI
  • NPI 1659970184
  NPD Authorized official
• Warren Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Warren, MI
  • NPI 1891337804
  NPD Authorized official
• Rite Aid of Michigan Inc

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1417176751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29048 GLOEDE DR",
            "address_2": "APT. 1",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884012",
            "telephone_number": "586-585-9676",
            "fax_number": "586-585-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14820 MACK AVE",
            "address_2": "RITE AID PHARMACY #7758",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152526",
            "telephone_number": "313-331-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOH",
        "first_name": "ISAIAH",
        "middle_name": "ETUONU",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302037470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Okereke
• Nnenna Okey
• Oluwatimilehin Olatomiwa Okeya, M.D.
• Okezie Wachuku
• Oghenefejiro Okifo, MD
• Cynthia Ogechi Okolie, M.D
• Edidiong Macdonald Okon Ben, MD
• Aniebietabasi Okon-Umoren, M.D
• Victoria Okon
• Ben Okoro, RN

• Pharmacist in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.