Anthony Afamefuna Okonkwo, PHARM. D
Individual provider Active NPI Pharmacist · Marion, NC
NPI 1962701334 · NPPES record last updated Mar 24, 2011
Key facts
- NPI
- 1962701334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20510 (NC)
- Practice address
- 625 W Henderson St
Marion, NC 28752-7890 - Phone
- (828) 652-9543
- NPI assigned
- Mar 24, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20510 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20510 | NC | Yes |
Addresses
Primary practice location
625 W Henderson St
Marion, NC 28752-7890
Mailing address
625 W Henderson St
Marion, NC 28752-7890
Phone (828) 652-9543
Other providers in Marion, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.