Edward Nana Minta Okatah-Boi, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202210931 Issued in VA

Practice address

4630 Daisy Reid Ave Apt 402
Woodbridge, VA 22192-7818

Phone

(571) 338-2997

NPI assigned

Jul 20, 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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1891040267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 DAISY REID AVE APT 402",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927818",
            "telephone_number": "571-338-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 DAISY REID AVE APT 402",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927818",
            "telephone_number": "571-338-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKATAH-BOI",
        "first_name": "EDWARD",
        "middle_name": "NANA MINTA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.