Raphael Taiwo Ogunsusi, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

13344 Issued in GA

Practice address

2630 Wellington Way SE
Conyers, GA 30013-6413

Phone

(678) 478-9511

NPI assigned

Sep 6, 2012

Sex

Male

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Rextox Consultant LLC

  • Community/Retail Pharmacy
  • Lithonia, GA
  • NPI 1023500501
  NPD Authorized official
• Rextox Consultant LLC

  • Community/Retail Pharmacy
  • Conyers, GA
  • NPI 1255800132
  NPD Authorized official

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1881943793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 WELLINGTON WAY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136413",
            "telephone_number": "678-478-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 WELLINGTON WAY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136413",
            "telephone_number": "678-478-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSUSI",
        "first_name": "RAPHAEL",
        "middle_name": "TAIWO",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "13344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of Georgia PC
• Oceans Holdings
• Assumpta Ogbedeagu, MS-FNP-C
• Samuel Ikechukwu Ogbuchi Jr., MD
• Ogles Oxygen, LLC
• George Okafor, M.D
• Sherri Okobi
• Frances Jill Oldham, LPC
• Olive Health Services
• Olive Tree Behavioral Health

• Pharmacist in Conyers, GA
• Providers in Conyers, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.