Active NPI
Jude C Ohaya, PHARMD.
- Pharmacist
- Forest Park, GA
National Provider Identifier
1629669163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15394
- Practice address
- 381 Forest Pkwy Ste a
Forest Park, GA 30297-2165 - Phone
- (404) 366-9088
- Fax
- (404) 366-8982
- NPI assigned
- Jan 28, 2021
- Sex
- Male
- 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 | 15394 | GA | Primary |
Addresses
Primary practice location
381 Forest Pkwy Ste a
Forest Park, GA 30297-2165
Mailing address
381 Forest Pkwy Ste a
Forest Park, GA 30297-2165
Phone (404) 366-9088
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15394 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustee Drugs, Inc. | Current | Accepting new patients |
Locations
381 Forest Pkwy
Ste A
Forest Park, GA 30297
Phone (404) 366-9088
Organizations & group practices 1
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/Retail Pharmacy
- Forest Park, GA
- NPI 1871507335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1629669163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 FOREST PKWY STE A",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302972165",
"telephone_number": "404-366-9088",
"fax_number": "404-366-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 FOREST PKWY STE A",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302972165",
"telephone_number": "404-366-9088",
"fax_number": "404-366-8982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHAYA",
"first_name": "JUDE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "15394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.