Active NPI
Modesta Obiageli Ohakwe
- Pharmacist
- Roswell, GA
National Provider Identifier
1568066363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 208707
- Practice address
- 895 Holcomb Bridge Rd
Roswell, GA 30076-1954 - Phone
- (770) 993-0194
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 208707 | GA | Primary |
Addresses
Primary practice location
895 Holcomb Bridge Rd
Roswell, GA 30076-1954
Mailing address
11092 Lorin Way
Johns Creek, GA 30097-8482
Phone (718) 552-7988
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
| License | State | Type | Specialty |
|---|---|---|---|
| 208707 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1568066363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11092 LORIN WAY",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300978482",
"telephone_number": "718-552-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 HOLCOMB BRIDGE RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761954",
"telephone_number": "770-993-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHAKWE",
"first_name": "MODESTA",
"middle_name": "OBIAGELI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "208707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.