Active NPI
Andrew Obah Okolo, PHARMACIST
- Pharmacist
- Sacramento, CA
National Provider Identifier
1902126675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 59518
- Practice address
- 250 Florin Rd
Sacramento, CA 95831-1405 - Phone
- (916) 399-0650
- Fax
- (916) 399-0656
- NPI assigned
- Jun 4, 2010
- 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 | RPH 59518 | CA | Primary |
Addresses
Primary practice location
250 Florin Rd
Sacramento, CA 95831-1405
Mailing address
9648 Nature Trail Way
Elk Grove, CA 95757-8131
Phone (619) 322-9279
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 59518 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Sacramento, CA
- NPI 1679742308
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1902126675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9648 NATURE TRAIL WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957578131",
"telephone_number": "619-322-9279",
"fax_number": "916-627-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FLORIN RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958311405",
"telephone_number": "916-399-0650",
"fax_number": "916-399-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOLO",
"first_name": "ANDREW",
"middle_name": "OBAH",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-04",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 59518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.