Active NPI
Stella Ngozi Okpala
- Pharmacotherapy Pharmacist
- Fairburn, GA
National Provider Identifier
1578889119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- RPH021599
- Practice address
- 216 NW Broad St Ste B
Fairburn, GA 30213-4106 - Phone
- (678) 489-2069
- Fax
- (678) 489-8627
- NPI assigned
- Apr 7, 2010
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RPH021599 | GA | Primary |
Addresses
Primary practice location
216 NW Broad St Ste B
Fairburn, GA 30213-4106
Mailing address
216 West Broad Street Suit B
Fairburn, GA 30213
Phone (678) 489-2069
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 |
|---|---|---|---|
| RPH021599 | GA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Pharmacy Inc | Current | Accepting new patients | |
| Providence Care Inc | Past | Accepting new patients |
Locations
216 NW Broad St
Ste B
Fairburn, GA 30213
Phone (678) 489-2069
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Fairburn, GA
- NPI 1376805630
-
- Community/Retail Pharmacy
- Fairburn, GA
- NPI 1942436027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1578889119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 WEST BROAD STREET SUIT B",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "30213",
"telephone_number": "678-489-2069",
"fax_number": "678-489-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 NW BROAD ST STE B",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302134106",
"telephone_number": "678-489-2069",
"fax_number": "678-489-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKPALA",
"first_name": "STELLA",
"middle_name": "NGOZI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-07",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "GA",
"license": "RPH021599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairburn, GA
- Daisy Uchechi Nwosu
- Oakley Family Medical Clinic LLX
- Nkemakolem Eluroma Obaze-Adegbite, NP
- Aminat Tunrayo Ogunmeru
- Clement Emeka Okpala, PHARMD
- On Demand 4 Kidz & Adultz Mobile Phlebotomy Services LLC
- Yavonka Marina Onwuka, PTA
- P&M Transportation Services, LLC
- Syreeta Nicole Palmer
- Karen A Parker, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.