Onyekachi John Robert-Eze
Individual provider Active NPI Pharmacist · Boonville, IN
NPI 1679417059 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1679417059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26030904A (IN)
- Practice address
- 905 W Main St
Boonville, IN 47601-1567 - Phone
- (812) 897-8128
- NPI assigned
- Apr 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26030904A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26030904A | IN | Yes |
Addresses
Primary practice location
905 W Main St
Boonville, IN 47601-1567
Mailing address
905 W Main St
Boonville, IN 47601-1567
Other providers in Boonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.