Individual provider Active NPI

Otito Frances Iwuchukwu, RPH, PHD

  • Pharmacist
  • Springfield, NJ
National Provider Identifier
1487018826
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03726500 Issued in NJ
Practice address
815 Mountain Ave
C16
Springfield, NJ 07081-3454
Phone
(484) 362-9560
Fax
(973) 443-8431
NPI assigned
Apr 12, 2016
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03726500 NJ Primary
Pharmacist 183500000X RP446407 PA
Pharmacist 183500000X 37352 TN

Addresses

Primary practice location

815 Mountain Ave
C16
Springfield, NJ 07081-3454

Mailing address

815 Mountain Ave
C16
Springfield, NJ 07081-3454
Phone (484) 362-9560

Other names 1

  • Otitofrances Iwuchukwu Okpor Other name

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 Philosophy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI03726500NJMDPharmacist
RP446407PAMDPharmacist
37352TNMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1487018826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MOUNTAIN AVE",
            "address_2": "C16",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813454",
            "telephone_number": "484-362-9560",
            "fax_number": "973-443-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MOUNTAIN AVE",
            "address_2": "C16",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813454",
            "telephone_number": "484-362-9560",
            "fax_number": "973-443-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUCHUKWU",
        "first_name": "OTITO",
        "middle_name": "FRANCES",
        "credential": "RPH, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03726500",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446407",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "37352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OTITOFRANCES",
            "last_name": "OKPOR",
            "middle_name": "IWUCHUKWU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.