Active NPI
Nzeribe Arthur Nwokoma, RPH
- Pharmacist
- Happy Valley, OR
National Provider Identifier
1417200296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 08550
- Practice address
- 14727 SE Badger Creek Rd
Happy Valley, OR 97086-2852 - Phone
- (503) 658-8776
- Fax
- (503) 658-8776
- NPI assigned
- Oct 18, 2012
- 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 | 08550 | OR | Primary |
Addresses
Primary practice location
14727 SE Badger Creek Rd
Happy Valley, OR 97086-2852
Mailing address
14727 SE Badger Creek Rd
Happy Valley, OR 97086-2852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08550 | Other | OR | INSURANCE COMPANIES |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08550 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Division Pharmacy Inc. | Current | 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.
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1538653654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1417200296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14727 SE BADGER CREEK RD",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970862852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14727 SE BADGER CREEK RD",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970862852",
"telephone_number": "503-658-8776",
"fax_number": "503-658-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWOKOMA",
"first_name": "NZERIBE",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "08550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE COMPANIES",
"identifier": "08550",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Happy Valley, OR
- Northwest Primary Care Group, PC (NW Integrated Care)
- Kevin E Nufer, MD
- Karla June Nussbaum, IBCLC
- NW Health & Wellness, LLC
- NW Spine & Health (Happy Valley Spine & Health)
- Rui O'Reilly, MASSAGE THERAPIST
- Tetyana O Odarich, MD
- Christopher Nairobi Oden-Orr
- Oregon Mobile Rehab LLC
- Oregon Pediatrics - Happy Valley, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.