Individual provider Active NPI

Jude C Ohaya, PHARMD.

  • Pharmacist
  • Forest Park, GA
National Provider Identifier
1629669163
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15394 Issued in GA
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

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
15394GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.