Organization Active NPI

Etta I. Onyemaobim

  • Pharmacist
  • Pottstown, PA
National Provider Identifier
1467652685
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP042404L Issued in PA
Legal business name
ETTA I. ONYEMAOBIM
Practice address
1304 Juniper St
Pottstown, PA 19464-1950
Phone
(610) 327-9862
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Etta Onyemaobim
Title
Owner
Phone
(610) 327-9862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RP042404L PA Primary

Addresses

Primary practice location

1304 Juniper St
Pottstown, PA 19464-1950

Mailing address

1304 Juniper St
Pottstown, PA 19464-1950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1467652685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 JUNIPER ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194641950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 JUNIPER ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194641950",
            "telephone_number": "610-327-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETTA I. ONYEMAOBIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "ONYEMAOBIM",
        "authorized_official_first_name": "ETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-327-9862"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP042404L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.