Active NPI
Valaniche Aniche Ogbonnaya, R.PH
- Pharmacist
- Oak Park, MI
National Provider Identifier
1992075949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411097
- Practice address
- 13550 W 9 Mile Rd
Oak Park, MI 48237-2852 - Phone
- (313) 613-5987
- Fax
- (313) 894-0456
- NPI assigned
- Jan 9, 2012
- 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 | 5302411097 | MI | Primary |
Addresses
Primary practice location
13550 W 9 Mile Rd
Oak Park, MI 48237-2852
Mailing address
27139 W Skye Dr
Farmington Hills, MI 48334-5340
Phone (313) 613-5987
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302411097 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Care Pharmacy Inc. | 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
- Detroit, MI
- NPI 1063560761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1992075949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27139 W SKYE DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345340",
"telephone_number": "313-613-5987",
"fax_number": "313-894-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13550 W 9 MILE RD",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372852",
"telephone_number": "313-613-5987",
"fax_number": "313-894-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBONNAYA",
"first_name": "VALANICHE",
"middle_name": "ANICHE",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-09",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.