Individual provider Active NPI

Eze Wokocha, PHARM.D.

  • Pharmacist
  • Fayetteville, NC
National Provider Identifier
1467744565
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20073 Issued in NC
Practice address
108 Rowan St
Fayetteville, NC 28301-4920
Phone
(910) 307-0342
NPI assigned
May 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20073 NC Primary

Addresses

Primary practice location

108 Rowan St
Fayetteville, NC 28301-4920

Mailing address

3440 Torrington Way Apt 3
Fayetteville, NC 28314-2665
Phone (609) 674-1360

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
20073NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1467744565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 TORRINGTON WAY APT 3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142665",
            "telephone_number": "609-674-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ROWAN ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014920",
            "telephone_number": "910-307-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOKOCHA",
        "first_name": "EZE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "20073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.