Individual provider Active NPI

Achinike Ofoleta, PHARMACIST

  • Pharmacist
  • Doral, FL
National Provider Identifier
1447902994
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS24628 Issued in FL
Practice address
10650 NW 29TH Ter
Doral, FL 33172-2195
Phone
(305) 262-7004
Fax
(305) 262-7006
NPI assigned
Jan 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS24628 FL Primary

Addresses

Primary practice location

10650 NW 29TH Ter
Doral, FL 33172-2195

Mailing address

22418 SW 94TH Path
Cutler Bay, FL 33190-1263
Phone (786) 326-8058

Other identifiers 1

IdentifierTypeStateIssuer
PS24628OtherFLPHARMACIST LICENSE

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

State licenses

LicenseStateTypeSpecialty
PS24628FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
JCR Medical Equipment Inc. CurrentSince Feb 1, 2022 Accepting new patients
JCR Medical Equipment Inc. CurrentSince Feb 1, 2022 Accepting new patients

Locations

10650 NW 29th Ter
Doral, FL 33172
Phone (305) 262-7004

Organizations & group practices 2

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1447902994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22418 SW 94TH PATH",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901263",
            "telephone_number": "786-326-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 NW 29TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722195",
            "telephone_number": "305-262-7004",
            "fax_number": "305-262-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOLETA",
        "first_name": "ACHINIKE",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS24628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST  LICENSE",
            "identifier": "PS24628",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.