Individual provider Active NPI

Jonathan O Onuorah, RPH

  • Pharmacotherapy Pharmacist
  • Indianapolis, IN
National Provider Identifier
1558608604
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
26091926A Issued in IN
Practice address
10076 Split Rock Way
Indianapolis, IN 46234-3192
Phone
(317) 403-7436
NPI assigned
Jan 9, 2013
Last updated
Jan 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 26091926A IN Primary

Addresses

Primary practice location

10076 Split Rock Way
Indianapolis, IN 46234-3192

Mailing address

10076 Split Rock Way
Indianapolis, IN 46234-3192
Phone (317) 403-7436

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
26091926AINMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1558608604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10076 SPLIT ROCK WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462343192",
            "telephone_number": "317-403-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10076 SPLIT ROCK WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462343192",
            "telephone_number": "317-403-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUORAH",
        "first_name": "JONATHAN",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IN",
            "license": "26091926A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.