MR. KENNETH ETUMUDON OKWUEGBE (NPI# 1225315971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225315971 |
| Entity Type | Individual |
| Full Name | MR. KENNETH ETUMUDON OKWUEGBE |
| Credential | RPH |
| Practice Address |
25158 Valley Oak Dr Castro Valley CA 94552-5467 |
| Practice Telephone | 5104812575 |
| Mailing Telephone | 5104812575 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 59510 | CA | Pharmacy Service Providers |
| Street Address |
25158 VALLEY OAK DR |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94552-5467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270155 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 37455 Palomares Rd, Castro Valley, CA 94552 | 2018-06-28 |
| 1497020085 | Kenneth G Dobson | Preventive Medicine | 16817 Hallmark Ct, Castro Valley, CA 94552-1632 | 2012-03-14 |
| 1174815559 | Christy Lee Ortzow | Occupational Therapist | 5724 Medallion Ct, Castro Valley, CA 94552-1708 | 2011-05-04 |
| 1669551719 | Robert James Abatecola | Family Medicine | 6179 Mount Rushmore Cir, Castro Valley, CA 94552-1911 | 2006-11-02 |
| 1396365003 | Hr Support Inc | Public Health or Welfare | 6143 Mount Diablo Ct, Castro Valley, CA 94552-1948 | 2020-04-22 |
| 1821548561 | Rhodora Maliglig Finch | Nurse Practitioner | 6097 Mount Olympus Dr, Castro Valley, CA 94552-1958 | 2016-10-05 |
| 1104489343 | Dimitri Shchadenko | Nurse Practitioner | 4788 Crow Canyon Rd, Castro Valley, CA 94552-4808 | 2019-04-14 |
| 1659899060 | Comfort Peace Home Care LLC | Home Health | 21305 Highland Dr, Castro Valley, CA 94552-4814 | 2017-09-06 |
| 1497886691 | Wayman Tang | Dentist | 4027 E Castro Valley Blvd, Castro Valley, CA 94552-4820 | 2007-03-08 |
| 1578698783 | Lillian Franchot Dashiell | Dentist | 3779 E Castro Valley Blvd, Castro Valley, CA 94552-4835 | 2007-02-21 |
| Find all providers in zip 94552 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699200584 | Pratima Deo | Pharmacist | 25289 Gold Hills Dr, Castro Valley, CA 94552-5460 | 2017-04-27 |
| 1790237022 | Ruiyu Ye | Pharmacist | 23000 Canyon Terrace Dr, Castro Valley, CA 94552-5494 | 2016-11-03 |
| 1477953651 | Tushar Joshi | Pharmacist | 3056 Castro Valley Blvd, 149, Castro Valley, CA 94546-5510 | 2014-08-26 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1912228313 | Jeannette Kaye Ong | Pharmacist | 3848 Castro Valley Blvd, Castro Valley, CA 94546-4502 | 2010-06-20 |
| 1366529588 | Robert H Duey | Pharmacist | 4592 Ewing Rd, Castro Valley, CA 94546-1014 | 2006-11-01 |
| 1306923651 | Robert Albert Brans | Pharmacist | 17657 Parker Rd, Castro Valley, CA 94546-1279 | 2006-11-01 |
| 1154402592 | Sherman Lowe | Pharmacist | 25150 Valley Oak Dr, Castro Valley, CA 94552-5467 | 2006-10-18 |
| 1932200813 | Forrest Batz | Pharmacist | 4473 Hillsborough Dr, Castro Valley, CA 94546-1026 | 2006-09-26 |
| 1245334663 | May M. Laxen | Pharmacist | 3979 Westbury Rd, Castro Valley, CA 94546-3142 | 2006-09-08 |
| Find all providers in CASTRO VALLEY | ||||
| City | CASTRO VALLEY |
| Zip Code | 94552 |
Please comment or provide details below to improve the information on MR. KENNETH ETUMUDON OKWUEGBE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.