Individual provider Active NPI

John Okechukwu Okonkwo

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1508033259
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH57029 Issued in CA
Practice address
1350 E Florence Ave Ste Bandc
Los Angeles, CA 90001-1963
Phone
(323) 457-9278
Fax
(323) 457-9265
NPI assigned
May 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH57029 CA Primary
Pharmacist 183500000X 57029 CA

Addresses

Primary practice location

1350 E Florence Ave Ste Bandc
Los Angeles, CA 90001-1963

Mailing address

1350 E Florence Ave Ste Bandc
Los Angeles, CA 90001-1963
Phone (323) 457-9278

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
RPH57029CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Binklor Pharmacy & Medical Supplies LLC Current Accepting new patients
Binklor Pharmacy & Medical Supplies LLC CurrentSince Oct 20, 2024 Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Locations

1350 E Florence Ave
Los Angeles, CA 90001
Phone (323) 457-9278

Organizations & group practices 4

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1508033259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E FLORENCE AVE STE BANDC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011963",
            "telephone_number": "323-457-9278",
            "fax_number": "323-457-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E FLORENCE AVE STE BANDC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011963",
            "telephone_number": "323-457-9278",
            "fax_number": "323-457-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "JOHN",
        "middle_name": "OKECHUKWU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH57029",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "57029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.