Active NPI
Nkechinyelu Adaora Oraefo
- Pharmacist
- Suwanee, GA
National Provider Identifier
1629604863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH23707
- Practice address
- 4503 Fairecroft Ter
Suwanee, GA 30024-4066 - Phone
- (919) 761-4076
- NPI assigned
- Mar 19, 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 | RPH23707 | GA | Primary |
Addresses
Primary practice location
4503 Fairecroft Ter
Suwanee, GA 30024-4066
Mailing address
4503 Fairecroft Ter
Suwanee, GA 30024-4066
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 |
|---|---|---|---|
| RPH23707 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1629604863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4503 FAIRECROFT TER",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4503 FAIRECROFT TER",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244066",
"telephone_number": "919-761-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORAEFO",
"first_name": "NKECHINYELU ADAORA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH23707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
- Optimal Longevity LLC
- Optimum Health of Suwanee PC
- Optimum Health Rehab of Cumming, LLC
- Optimum Health Rehab of Suwanee LLC (Optimum Health Suwanee LLC)
- Optimum Health Spinal Rehabilitation (Optimum Health Buford)
- Octavia Oree
- Hila Oren, AGNP-C
- Taylor Orr
- Ortho 4 Suwanee, PC (Ortho 4 Suwanee)
- Orthopedic Surgery, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.