1194250688 NPI number — EBUBE OTUONYE PHARMACIST

Table of content: EBUBE OTUONYE PHARMACIST (NPI 1194250688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194250688 NPI number — EBUBE OTUONYE PHARMACIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OTUONYE
Provider First Name:
EBUBE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMACIST
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194250688
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2251 E 21ST ST N STE 121
Provider Second Line Business Mailing Address:
NEIGHBORHOOD PHARMACY
Provider Business Mailing Address City Name:
WICHITA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67214-1976
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
316-665-4427
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2251 E 21ST ST N STE 121
Provider Second Line Business Practice Location Address:
NEIGHBORHOOD PHARMACY
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67214-1976
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-665-4427
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  1-12971 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1835N0905X , with the licence number: 1-12971 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1835P2201X , with the licence number: 1-12971 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)