Active NPI
Thelma Uchenna Odoemene, RPH
- Pharmacist
- Atco, NJ
National Provider Identifier
1861708737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03010700
- Practice address
- 375 White Horse Pike
Atco, NJ 08004-2228 - Phone
- (856) 768-0911
- Fax
- (856) 768-0791
- NPI assigned
- Aug 29, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03010700 | NJ | Primary |
| Pharmacist | 183500000X | RP045825L | PA |
Addresses
Primary practice location
375 White Horse Pike
Atco, NJ 08004-2228
Mailing address
375 White Horse Pike
Atco, NJ 08004-2228
Phone (856) 768-0911
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03010700 | NJ | MD | Pharmacist |
| RP045825L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berlin Pharmacy LLC | Current | Accepting new patients | |
| Rite Aid of New Jersey Inc | Past | Accepting new patients | |
| Rite Aid of New Jersey Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Berlin, NJ
- NPI 1053737155
-
- Community/Retail Pharmacy
- Atco, NJ
- NPI 1275642639
-
- Community/Retail Pharmacy
- Jersey City, NJ
- NPI 1467561803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283040000000",
"number": "1861708737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 WHITE HORSE PIKE",
"city": "ATCO",
"state": "NJ",
"postal_code": "080042228",
"telephone_number": "856-768-0911",
"fax_number": "856-768-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 WHITE HORSE PIKE",
"city": "ATCO",
"state": "NJ",
"postal_code": "080042228",
"telephone_number": "856-768-0911",
"fax_number": "856-768-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOEMENE",
"first_name": "THELMA",
"middle_name": "UCHENNA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-29",
"last_updated": "2010-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03010700",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP045825L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atco, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.