Active NPI
Okwuchi Obialor
- Pharmacist
- Dallas, GA
National Provider Identifier
1689950032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH024277
- Practice address
- 303 Charlie Watts Blvd
Dallas, GA 30157 - Phone
- (770) 443-4886
- Fax
- (770) 443-5904
- NPI assigned
- Oct 31, 2011
- Last updated
- Oct 31, 2011
- Sex
- Female
- Sole proprietor
- No
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 | RPH024277 | GA | Primary |
Addresses
Primary practice location
303 Charlie Watts Blvd
Dallas, GA 30157
Mailing address
303 Charlie Watts Blvd
Dallas, GA 30157
Phone (770) 443-4886
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 |
|---|---|---|---|
| RPH024277 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1689950032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 CHARLIE WATTS BLVD",
"city": "DALLAS",
"state": "GA",
"postal_code": "30157",
"telephone_number": "770-443-4886",
"fax_number": "770-443-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 CHARLIE WATTS BLVD",
"city": "DALLAS",
"state": "GA",
"postal_code": "30157",
"telephone_number": "770-443-4886",
"fax_number": "770-443-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBIALOR",
"first_name": "OKWUCHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH024277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.