Individual provider Active NPI

John A Okidi

  • Pharmacist
  • Catonsville, MD
National Provider Identifier
1467011833
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17828 Issued in MD
Practice address
5702 Baltimore National Pike
Catonsville, MD 21228-1306
Phone
(410) 744-3154
Fax
(410) 744-5238
NPI assigned
Jun 10, 2019
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17828 MD Primary

Addresses

Primary practice location

5702 Baltimore National Pike
Catonsville, MD 21228-1306

Mailing address

1403 Adamsview Rd
Catonsville, MD 21228-1132

Other identifiers 1

IdentifierTypeStateIssuer
17828OtherMDBOARD OF PHARMACY

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
17828MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jook Medical Consult Inc Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1467011833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 ADAMSVIEW RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 BALTIMORE NATIONAL PIKE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281306",
            "telephone_number": "410-744-3154",
            "fax_number": "410-744-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKIDI",
        "first_name": "JOHN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "17828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "17828",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.