Joseph C Agunobi, PHARMD
Individual provider Active NPI Pharmacist · Westerville, OH
NPI 1770179558 · NPPES record last updated Dec 16, 2020
Key facts
- NPI
- 1770179558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03337227 (OH)
- Practice address
- 5325 Porlock PL
Westerville, OH 43081-8254 - Phone
- (567) 429-1622
- NPI assigned
- Dec 16, 2020
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03337227 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03337227 | OH | Yes |
Addresses
Primary practice location
5325 Porlock PL
Westerville, OH 43081-8254
Mailing address
4355 Cobb Pkwy SE Ste 467
Atlanta, GA 30339-4657
Phone (678) 358-8885
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2020. 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.