Individual provider Active NPI

Ebitimi Florence Okoya-Wilcox, RPH

  • Pharmacist
  • Old Bridge, NJ
National Provider Identifier
1548866338
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01795000 Issued in NJ
Practice address
2239 Route 9 N
Old Bridge, NJ 08857-2469
Phone
(732) 727-3535
Fax
(732) 727-3031
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01795000 NJ Primary

Addresses

Primary practice location

2239 Route 9 N
Old Bridge, NJ 08857-2469

Mailing address

3 King Richard CT
Watchung, NJ 07069-6151
Phone (908) 612-6129

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01795000NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1548866338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 KING RICHARD CT",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696151",
            "telephone_number": "908-612-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 ROUTE 9 N",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572469",
            "telephone_number": "732-727-3535",
            "fax_number": "732-727-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOYA-WILCOX",
        "first_name": "EBITIMI",
        "middle_name": "FLORENCE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01795000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.