Individual provider Active NPI

Okwudili Martin Okekearu, PHARMD

  • Pharmacist
  • Prairie Village, KS
National Provider Identifier
1841907649
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-104406 Issued in KS
Practice address
4016 W 95TH St
Prairie Village, KS 66207-2702
Phone
(913) 307-3057
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-104406 KS Primary

Addresses

Primary practice location

4016 W 95TH St
Prairie Village, KS 66207-2702

Mailing address

4016 W 95TH St
Prairie Village, KS 66207-2702
Phone (913) 307-3057

Other identifiers 1

IdentifierTypeStateIssuer
1-104406OtherKSKS BOP

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

LicenseStateTypeSpecialty
1-104406KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Nov 6, 2022 Accepting new patients
Walgreen Co PastSince Nov 6, 2022 Accepting new patients

Locations

4016 W 95th St
Prairie Village, KS 66207
Phone (913) 307-3057

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1841907649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 W 95TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072702",
            "telephone_number": "913-307-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 W 95TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072702",
            "telephone_number": "913-307-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKEARU",
        "first_name": "OKWUDILI",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-104406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS BOP",
            "identifier": "1-104406",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.