Active NPI
Echezona Anselm Okoli, PHARMD
- Pharmacist
- Ellijay, GA
National Provider Identifier
1841623501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69205
- Practice address
- 80 Cinema Dr
Ellijay, GA 30540-2592 - Phone
- (706) 635-6898
- Fax
- (706) 635-6823
- NPI assigned
- Aug 17, 2013
- Sex
- Male
- 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 | 69205 | CA | Primary |
Addresses
Primary practice location
80 Cinema Dr
Ellijay, GA 30540-2592
Mailing address
165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-5607
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69205 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1841623501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 BLUE RIDGE OVERLOOK",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134431",
"telephone_number": "706-946-5607",
"fax_number": "706-374-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 CINEMA DR",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305402592",
"telephone_number": "706-635-6898",
"fax_number": "706-635-6823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOLI",
"first_name": "ECHEZONA",
"middle_name": "ANSELM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-17",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellijay, GA
- Thang Xuan Nguyen, MD
- Lisa H Nichols, LCSW, RN, BC
- North Georgia Emergency Physicians, LLC
- Northland Hearing Centers, Inc.
- Office of Gilmer County Commissioners
- Alexis N. Pagan, DMD
- Claro Tesoro Palma, MD
- Donna Gale Palmer, LICENSED PROFESSIONA
- Parkside Operating Company LLC
- Shivraj Ramesh Patel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.