Active NPI
Obinna Chukwuka Akubukwe, PHARM D
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1972807998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019109
- Practice address
- 6006 S. Central Avenue
Phoenix, AZ 85042 - Phone
- (602) 276-5485
- Fax
- (602) 276-0485
- NPI assigned
- Jan 5, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302033566 | MI | |
| Pharmacist | 183500000X | S019109 | AZ | Primary |
Addresses
Primary practice location
6006 S. Central Avenue
Phoenix, AZ 85042
Mailing address
6006 S. Central Avenue
Phoenix, AZ 85042
Phone (602) 276-5485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302033566 | Other | MI | RPH LICENSE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S019109 | AZ | MD | Pharmacist |
| 5302033566 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadway Family Pharmacy PLLC | Past | Accepting new patients |
Organizations & group practices 1
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
- Phoenix, AZ
- NPI 1467898312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1972807998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6006 S. CENTRAL AVENUE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85042",
"telephone_number": "602-276-5485",
"fax_number": "602-276-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6006 S. CENTRAL AVENUE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85042",
"telephone_number": "602-276-5485",
"fax_number": "602-276-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKUBUKWE",
"first_name": "OBINNA",
"middle_name": "CHUKWUKA",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-05",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302033566",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE",
"identifier": "5302033566",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.