Jesse Ofori-Nyarko, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

30874 Issued in NC

Practice address

5322 US Highway 158
Advance, NC 27006-6907

Phone

(336) 940-5515

NPI assigned

Sep 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Advance, NC
  • NPI 1598988503
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1740959006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 US HIGHWAY 158",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 US HIGHWAY 158",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066907",
            "telephone_number": "336-940-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFORI-NYARKO",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina Baptist Hospital
• North Carolina CVS Pharmacy LLC
• Novant Health Medical Group, LLC
• Novant Medical Group, Inc.
• Novant Medical Group, Inc.
• Docia Okai
• Deborah Bowers Oliver
• Christopher Charles Owens, OD
• Paramount Group Inc
• Sarah Pardue, DO

• All providers in Advance, NC
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.